Provider Demographics
NPI:1114142056
Name:NEWPORT BEACH HEARING AID ASSOCIATES
Entity Type:Organization
Organization Name:NEWPORT BEACH HEARING AID ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:POPOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-642-2113
Mailing Address - Street 1:361 HOSPITAL RD STE 522
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-3526
Mailing Address - Country:US
Mailing Address - Phone:949-642-2113
Mailing Address - Fax:949-645-0453
Practice Address - Street 1:361 HOSPITAL RD STE 522
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-3526
Practice Address - Country:US
Practice Address - Phone:949-642-2113
Practice Address - Fax:949-645-0453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA3527332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment