MEDICARE: ADVANCED HEARING AID CENTER

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
1	237700000X	Hearing Instrument Specialist	HA2944	CA

General Provider Information

NPI Number	:	1801169362
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED HEARING AID CENTER

Provider Business Mailing Address
First Line	:	425 GREGORY LN STE 202
Second Line	:
City	:	PLEASANT HILL
State	:	CA
Zip	:	94523-2813
Country	:	US
Telephone Number	:	925-674-8621
Fax Number	:	925-674-0874

Provider Business Practice Location Address
First Line	:	425 GREGORY LN STE 202
Second Line	:
City	:	PLEASANT HILL
State	:	CA
Zip	:	94523-2813
Country	:	US
Telephone Number	:	925-674-8621
Fax Number	:	925-674-0874

Authorized Official
Title or Position	:	OWNER, HEARING AIDS SPECIALIST
Name	:	MRS. YOLANDA C KANANEN
Credential	:	NBC-HIS, ACA, HA2944
Telephone Number	:	925-687-3211

Provider Enumeration Date	:	02/14/2012
Last Update Date	:	11/09/2015

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