Healthcare Provider Details

I. General information

NPI: 1376637272
Provider Name (Legal Business Name): PHYSICIANS HEARING AID CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 03/07/2022
Certification Date: 03/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 WATER ST STE A
SANTA CRUZ CA
95060-4126
US

IV. Provider business mailing address

550 WATER ST STE A
SANTA CRUZ CA
95060-4126
US

V. Phone/Fax

Practice location:
  • Phone: 831-476-4414
  • Fax: 831-462-8262
Mailing address:
  • Phone: 831-476-4414
  • Fax: 831-462-8262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License NumberSRYGHD097689968
License Number StateCA

VIII. Authorized Official

Name: DR. DANIEL A SPILMAN
Title or Position: PRESIDENT
Credential: MD
Phone: 831-462-8260