Healthcare Provider Details

I. General information

NPI: 1497239404
Provider Name (Legal Business Name): HEARING CENTERS OF NEVADA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2018
Last Update Date: 03/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 POSTAL DR STE 9
PAHRUMP NV
89048-4778
US

IV. Provider business mailing address

3075 JUMPING MOON CT
HENDERSON NV
89052-4008
US

V. Phone/Fax

Practice location:
  • Phone: 714-815-6417
  • Fax:
Mailing address:
  • Phone: 714-815-6417
  • Fax:

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 Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: HEATHER LEIGH CASTELLANO
Title or Position: OWNER
Credential:
Phone: 714-815-6417