Provider Demographics
NPI:1306188057
Name:COMFORT HEARING AID CENTERS LLC
Entity Type:Organization
Organization Name:COMFORT HEARING AID CENTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED HEARING AID DISPENSER
Authorized Official - Prefix:
Authorized Official - First Name:DENYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:EVENSON
Authorized Official - Suffix:
Authorized Official - Credentials:HAD
Authorized Official - Phone:661-322-8444
Mailing Address - Street 1:2427 H ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-2804
Mailing Address - Country:US
Mailing Address - Phone:661-322-8444
Mailing Address - Fax:
Practice Address - Street 1:2427 H ST
Practice Address - Street 2:SUITE C
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-2804
Practice Address - Country:US
Practice Address - Phone:661-322-8444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA7725261QH0700X
CAHA7505261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech