Provider Demographics
NPI:1275246308
Name:PERSONAL HEARING SOLUTIONS INC
Entity Type:Organization
Organization Name:PERSONAL HEARING SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:DILES
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:707-538-1000
Mailing Address - Street 1:55 MISSION CIRCLE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SANRA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95409-5372
Mailing Address - Country:US
Mailing Address - Phone:707-538-1000
Mailing Address - Fax:707-538-1013
Practice Address - Street 1:190 EL CERRITO PLAZA
Practice Address - Street 2:
Practice Address - City:EL CERRITO
Practice Address - State:CA
Practice Address - Zip Code:94530-4002
Practice Address - Country:US
Practice Address - Phone:510-984-3356
Practice Address - Fax:510-526-3764
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-04
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty