Healthcare Provider Details

I. General information

NPI: 1669658720
Provider Name (Legal Business Name): UNIVERSAL HEARING CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2008
Last Update Date: 01/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5525 ETIWANDA AVE # 309
TARZANA CA
91356-3647
US

IV. Provider business mailing address

5525 ETIWANDA AVE # 309
TARZANA CA
91356-3647
US

V. Phone/Fax

Practice location:
  • Phone: 818-345-3200
  • Fax: 818-345-3254
Mailing address:
  • Phone: 818-345-3200
  • Fax: 818-345-3254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: LISA BETH GOLDSTEIN
Title or Position: PRESIDENT
Credential: M.A.
Phone: 818-345-3200