Provider Demographics
NPI:1205012341
Name:BETTER HEARING SYSTEMS, INC.
Entity Type:Organization
Organization Name:BETTER HEARING SYSTEMS, INC.
Other - Org Name:BETTER HEARING SYSTEMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, DOCTOR OF AUDIOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:MARQUESS-LARA
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:760-340-4580
Mailing Address - Street 1:74941 US HIGHWAY 111
Mailing Address - Street 2:
Mailing Address - City:INDIAN WELLS
Mailing Address - State:CA
Mailing Address - Zip Code:92210-7133
Mailing Address - Country:US
Mailing Address - Phone:760-340-4580
Mailing Address - Fax:760-341-5260
Practice Address - Street 1:74941 US HIGHWAY 111
Practice Address - Street 2:
Practice Address - City:INDIAN WELLS
Practice Address - State:CA
Practice Address - Zip Code:92210-7133
Practice Address - Country:US
Practice Address - Phone:760-340-4580
Practice Address - Fax:760-341-5260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-19
Last Update Date:2008-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1981231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ31195ZMedicare UPIN