Provider Demographics
NPI:1225781073
Name:EAST BAY HEARING SERVICES
Entity Type:Organization
Organization Name:EAST BAY HEARING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:E
Authorized Official - Last Name:HOLT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-538-8884
Mailing Address - Street 1:1260 A ST STE 100
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-2961
Mailing Address - Country:US
Mailing Address - Phone:510-538-8884
Mailing Address - Fax:510-538-5144
Practice Address - Street 1:1260 A ST STE 100
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-2961
Practice Address - Country:US
Practice Address - Phone:510-538-8884
Practice Address - Fax:510-538-5144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-01
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty