Provider Demographics
NPI:1184032930
Name:AMERICAN HEARING AIDS
Entity Type:Organization
Organization Name:AMERICAN HEARING AIDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISPENSER/CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MITCHEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:CONCEPCION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-952-9950
Mailing Address - Street 1:880 W BEN HOLT DR
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95207-3652
Mailing Address - Country:US
Mailing Address - Phone:209-952-9950
Mailing Address - Fax:209-952-9958
Practice Address - Street 1:880 W BEN HOLT DR
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-3652
Practice Address - Country:US
Practice Address - Phone:209-952-9950
Practice Address - Fax:209-952-9958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-24
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA4021332B00000X, 332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment