MEDICARE: AAA HEARING SERVICES, LLC

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

General Provider Information

NPI Number	:	1811197411
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AAA HEARING SERVICES, LLC

Provider Business Mailing Address
First Line	:	PO BOX 81
Second Line	:
City	:	MOORPARK
State	:	CA
Zip	:	93020-0081
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8430 W LAKE MEAD BLVD
Second Line	:	STE 137
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-7672
Country	:	US
Telephone Number	:	805-552-0888
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	J. KIELY BALL
Credential	:
Telephone Number	:	801-205-2581

Provider Enumeration Date	:	07/20/2007
Last Update Date	:	10/14/2010

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