Provider Demographics
NPI:1083934244
Name:BRIGHTHEAR
Entity Type:Organization
Organization Name:BRIGHTHEAR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISPENSER AUDIOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAKLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:NAGHDI
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:323-424-7100
Mailing Address - Street 1:6360 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-5603
Mailing Address - Country:US
Mailing Address - Phone:323-424-7100
Mailing Address - Fax:844-270-2787
Practice Address - Street 1:6360 WILSHIRE BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-5603
Practice Address - Country:US
Practice Address - Phone:323-424-7100
Practice Address - Fax:844-270-2787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-10
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU2596237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty