MEDICARE: SAN DIEGO HEARING CENTER 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
1	332S00000X	Hearing Aid Equipment	HA2797	CA
2	332S00000X	Hearing Aid Equipment		CA
3	231H00000X	Audiologist	AU1291	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881686905
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAN DIEGO HEARING CENTER INC

Provider Business Mailing Address
First Line	:	4282 GENESEE AVE
Second Line	:	SUITE 301
City	:	SAN DIEGO
State	:	CA
Zip	:	92117-4946
Country	:	US
Telephone Number	:	858-279-3277
Fax Number	:	858-279-3281

Provider Business Practice Location Address
First Line	:	4282 GENESEE AVE
Second Line	:	SUITE 301
City	:	SAN DIEGO
State	:	CA
Zip	:	92117
Country	:	US
Telephone Number	:	858-279-3277
Fax Number	:	858-279-3281

Authorized Official
Title or Position	:	PRESIDENT OWNER
Name	:	MS. BLANCHE LYN BLACKINGTON
Credential	:	MA
Telephone Number	:	858-279-3277

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	09/11/2025

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