Provider Demographics
NPI:1134676083
Name:CARPADAKIS HEARING, INC
Entity Type:Organization
Organization Name:CARPADAKIS HEARING, INC
Other - Org Name:BELTONE LA MESA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ HEARING INSTRUMENT SPECIALIS
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:CARPADAKIS
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:619-460-0180
Mailing Address - Street 1:5020 BALTIMORE DR STE A
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-0692
Mailing Address - Country:US
Mailing Address - Phone:619-460-0180
Mailing Address - Fax:
Practice Address - Street 1:5020 BALTIMORE DR STE A
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-0692
Practice Address - Country:US
Practice Address - Phone:619-460-0180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-08
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA8031237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty