Provider Demographics
NPI:1225175482
Name:PREFERRED HEARING HEALTHCARE, INC.
Entity Type:Organization
Organization Name:PREFERRED HEARING HEALTHCARE, INC.
Other - Org Name:PREFERRED HEARING AID CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS, ACA
Authorized Official - Phone:951-652-9655
Mailing Address - Street 1:623 E LATHAM AVE
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92543-4342
Mailing Address - Country:US
Mailing Address - Phone:951-652-9655
Mailing Address - Fax:951-765-9759
Practice Address - Street 1:623 E LATHAM AVE
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543-4342
Practice Address - Country:US
Practice Address - Phone:951-652-9655
Practice Address - Fax:951-765-9759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA3717237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHA0037170Medicaid