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NPI Code Detail

MEDICARE: HEARING SERVICES OF MARIN

MEDICARE: HEARING SERVICES OF MARIN
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
1237700000XHearing Instrument SpecialistHA1105CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1HA1105OTHERCASTATE LICENSE

General Provider Information

NPI Number : 1851517098
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEARING SERVICES OF MARIN
Provider Business Mailing Address
First Line : 2400 LAS GALLINAS AVE
Second Line : SUITE 150
City : SAN RAFAEL
State : CA
Zip : 94903-1447
Country : US
Telephone Number : 415-479-5675
Fax Number : 415-479-1767
Provider Business Practice Location Address
First Line : 2400 LAS GALLINAS AVE
Second Line : SUITE 150
City : SAN RAFAEL
State : CA
Zip : 94903-1447
Country : US
Telephone Number : 415-479-5675
Fax Number : 415-479-1767
Authorized Official
Title or Position : OWNER
Name : CLIFFORD PEARSON
Credential :
Telephone Number : 415-479-5675
Provider Enumeration Date : 04/17/2007
Last Update Date : 08/22/2020

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Directions to “HEARING SERVICES OF MARIN ” Practice Location

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