Provider Demographics
NPI:1093033292
Name:A CENTER FOR HEARING HEALTH
Entity Type:Organization
Organization Name:A CENTER FOR HEARING HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:ENT MD
Authorized Official - Phone:510-724-6662
Mailing Address - Street 1:1700 SAN PABLO AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:PINOLE
Mailing Address - State:CA
Mailing Address - Zip Code:94564-2081
Mailing Address - Country:US
Mailing Address - Phone:510-724-1095
Mailing Address - Fax:510-724-1178
Practice Address - Street 1:1700 SAN PABLO AVE
Practice Address - Street 2:SUITE F
Practice Address - City:PINOLE
Practice Address - State:CA
Practice Address - Zip Code:94564-2081
Practice Address - Country:US
Practice Address - Phone:510-724-1095
Practice Address - Fax:510-724-1178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-12
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG11114332S00000X
CAHA3644332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment