Provider Demographics
NPI:1083894430
Name:BALANCE & HEARING SPECIALTY GROUP, INC.
Entity Type:Organization
Organization Name:BALANCE & HEARING SPECIALTY GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:OBRYAN
Authorized Official - Last Name:BEST
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:760-889-8542
Mailing Address - Street 1:161 THUNDER DRIVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92083
Mailing Address - Country:US
Mailing Address - Phone:760-889-8542
Mailing Address - Fax:760-729-8546
Practice Address - Street 1:161 THUNDER DRIVE
Practice Address - Street 2:SUITE 104
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92083
Practice Address - Country:US
Practice Address - Phone:760-889-8542
Practice Address - Fax:760-729-8546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-13
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU1327231H00000X
237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA237600000XOtherPROVIDER NPIN
CAW18698Medicare PIN
CA237600000XOtherPROVIDER NPIN
WAU1327AMedicare PIN
CAWAU1327AMedicare PIN