Healthcare Provider Details

I. General information

NPI: 1407658628
Provider Name (Legal Business Name): STARWOOD AUDIOLOGY AND HEARING AIDS A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2025
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 LAKES DR STE 225
WEST COVINA CA
91790-2910
US

IV. Provider business mailing address

101 E PARK BLVD STE 600
PLANO TX
75074-8818
US

V. Phone/Fax

Practice location:
  • Phone: 214-507-1917
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: ALIREZA BINA
Title or Position: OWNER
Credential:
Phone: 214-507-1917