Provider Demographics
NPI:1366453078
Name:LORETTA L WALKER ENTERPRISES INCORPERATED
Entity Type:Organization
Organization Name:LORETTA L WALKER ENTERPRISES INCORPERATED
Other - Org Name:CENTRAL COAST BETTER HEARING AID CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-481-1523
Mailing Address - Street 1:PO BOX 336
Mailing Address - Street 2:160 N. 9TH ST
Mailing Address - City:GROVER BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:93483-0336
Mailing Address - Country:US
Mailing Address - Phone:805-481-1523
Mailing Address - Fax:805-481-1269
Practice Address - Street 1:160 N 9TH ST
Practice Address - Street 2:
Practice Address - City:GROVER BEACH
Practice Address - State:CA
Practice Address - Zip Code:93433-2122
Practice Address - Country:US
Practice Address - Phone:805-481-1523
Practice Address - Fax:805-481-1269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHAD2723332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies