Provider Demographics
NPI:1316024995
Name:AMERICAN HEARING AID CENTER LLC
Entity Type:Organization
Organization Name:AMERICAN HEARING AID CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLIVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMOZY
Authorized Official - Suffix:
Authorized Official - Credentials:HAD
Authorized Official - Phone:650-323-6191
Mailing Address - Street 1:681 OAK GROVE AVE STE D
Mailing Address - Street 2:
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-4333
Mailing Address - Country:US
Mailing Address - Phone:650-323-6191
Mailing Address - Fax:650-323-9111
Practice Address - Street 1:681 OAK GROVE AVE STE D
Practice Address - Street 2:
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-4333
Practice Address - Country:US
Practice Address - Phone:650-323-6191
Practice Address - Fax:650-323-9111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA 2145237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty