1205908365 NPI number — ALL EARS HEARING AIDS, INC

Table of content: (NPI 1205908365)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205908365 NPI number — ALL EARS HEARING AIDS, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALL EARS HEARING AIDS, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205908365
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/19/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 3104
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HUNTINGTON BEACH
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92605-3104
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
714-848-2222
Provider Business Mailing Address Fax Number:
714-848-5863

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
17732 BEACH BLVD
Provider Second Line Business Practice Location Address:
SUITE C
Provider Business Practice Location Address City Name:
HUNTINGTON BEACH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92647-6881
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-848-2222
Provider Business Practice Location Address Fax Number:
714-848-5863
Provider Enumeration Date:
11/14/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CASTANON
Authorized Official First Name:
PAULA
Authorized Official Middle Name:
Authorized Official Title or Position:
HEARING INSTRUMENT SPECIALIST
Authorized Official Telephone Number:
714-848-2222

Provider Taxonomy Codes

  • Taxonomy code: 332S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: ZZZ64969Z . This is a "BLUE SHIELD" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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