Healthcare Provider Details

I. General information

NPI: 1740317809
Provider Name (Legal Business Name): SUN CITY HEARING SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28125 BRADLEY RD SUITE 140
SUN CITY CA
92586-2248
US

IV. Provider business mailing address

28125 BRADLEY RD SUITE 140
SUN CITY CA
92586-2248
US

V. Phone/Fax

Practice location:
  • Phone: 951-679-8751
  • Fax: 951-679-8751
Mailing address:
  • Phone: 951-679-8751
  • Fax: 951-679-8751

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: MR. WELDON KARL JACKSON
Title or Position: OWNER
Credential: MA CCC-A
Phone: 951-679-8751