Provider Demographics
NPI:1164641817
Name:RS YOUNG CO, INC
Entity Type:Organization
Organization Name:RS YOUNG CO, INC
Other - Org Name:PALM DESERT HEARING AID CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TALLEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:SAEKAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-346-2089
Mailing Address - Street 1:72624 EL PASEO
Mailing Address - Street 2:SUITE B3
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-3309
Mailing Address - Country:US
Mailing Address - Phone:760-346-2089
Mailing Address - Fax:760-340-5020
Practice Address - Street 1:72624 EL PASEO
Practice Address - Street 2:SUITE B3
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-3309
Practice Address - Country:US
Practice Address - Phone:760-346-2089
Practice Address - Fax:760-340-5020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA1065237700000X
CAHA6022332S00000X
CAHA3795332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
No332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHA1065OtherSTATE LICENSE