MEDICARE: CHEARS, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	261QH0700X	Hearing and Speech Clinic/Center
2	332S00000X	Hearing Aid Equipment
3	231H00000X	Audiologist	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ZZZ64849Z	OTHER	CA	BLUE SHIELD

General Provider Information

NPI Number	:	1194754218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHEARS, INC.

Provider Business Mailing Address
First Line	:	3590 CAMINO DEL RIO N STE 201
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-1707
Country	:	US
Telephone Number	:	619-810-1204
Fax Number	:	619-517-3233

Provider Business Practice Location Address
First Line	:	3590 CAMINO DEL RIO N STE 201
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-1707
Country	:	US
Telephone Number	:	619-810-1204
Fax Number	:	619-517-3233

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ROBERT FAILLACE
Credential	:	AU.D.
Telephone Number	:	619-810-1204

Provider Enumeration Date	:	07/01/2006
Last Update Date	:	12/03/2024

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Directions to “CHEARS, INC. ” Practice Location

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