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NPI Code Detail

MEDICARE: PROFESSIONAL HEARING ASSOCIATES INC

MEDICARE: PROFESSIONAL HEARING ASSOCIATES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QH0700XHearing and Speech Clinic/Center
2332S00000XHearing Aid Equipment
3231H00000XAudiologist

General Provider Information

NPI Number : 1114966132
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROFESSIONAL HEARING ASSOCIATES INC
Provider Business Mailing Address
First Line : 1045 E VALLEY PKWY
Second Line :
City : ESCONDIDO
State : CA
Zip : 92025-4618
Country : US
Telephone Number : 760-489-6901
Fax Number : 760-489-1694
Provider Business Practice Location Address
First Line : 1045 E VALLEY PKWY
Second Line :
City : ESCONDIDO
State : CA
Zip : 92025-4618
Country : US
Telephone Number : 760-489-6901
Fax Number : 760-489-1694
Authorized Official
Title or Position : A.O.
Name : MR. COLE C STASEK
Credential : AU.D.
Telephone Number : 760-489-6901
Provider Enumeration Date : 06/05/2006
Last Update Date : 09/02/2025

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Directions to “PROFESSIONAL HEARING ASSOCIATES INC ” Practice Location

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