Healthcare Provider Details

I. General information

NPI: 1851295299
Provider Name (Legal Business Name): SELECTIVE HEARING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7355 CHURCH ST STE D
YUCCA VALLEY CA
92284-3273
US

IV. Provider business mailing address

7355 CHURCH ST STE D
YUCCA VALLEY CA
92284-3273
US

V. Phone/Fax

Practice location:
  • Phone: 760-230-3703
  • Fax:
Mailing address:
  • Phone: 760-230-3703
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DARIN SANDEN
Title or Position: OWNER
Credential: HAD
Phone: 760-230-3703