Provider Demographics
NPI:1326815796
Name:EARLY BIRD HEARING
Entity Type:Organization
Organization Name:EARLY BIRD HEARING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/HEARING AID DISPENSER
Authorized Official - Prefix:
Authorized Official - First Name:LILIT
Authorized Official - Middle Name:
Authorized Official - Last Name:YESAYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-303-3316
Mailing Address - Street 1:1141 N BRAND BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91202-3647
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1141 N BRAND BLVD STE 201
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91202-3647
Practice Address - Country:US
Practice Address - Phone:818-303-3316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty