Healthcare Provider Details
I. General information
NPI: 1548203607
Provider Name (Legal Business Name): WHITTIER HEARING CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/14/2006
Last Update Date: 01/11/2024
Certification Date: 01/11/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13121 E PHILADELPHIA ST
WHITTIER CA
90601-4302
US
IV. Provider business mailing address
13121 E PHILADELPHIA ST
WHITTIER CA
90601-4302
US
V. Phone/Fax
- Phone: 562-945-3628
- Fax: 562-696-9798
- Phone: 562-945-3628
- Fax: 562-696-9798
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 237700000X |
| Taxonomy | Hearing Instrument Specialist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
KIM
KUCENAS
ORTEGA
Title or Position: OWNER
Credential: AUD
Phone: 562-698-0581