Provider Demographics
NPI:1376935833
Name:C & C HEARING HEALTH, LLC
Entity Type:Organization
Organization Name:C & C HEARING HEALTH, LLC
Other - Org Name:C & C HEARING HEALTH, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:E
Authorized Official - Last Name:ERICKSON
Authorized Official - Suffix:
Authorized Official - Credentials:HEARING AID DISPENSE
Authorized Official - Phone:760-568-1300
Mailing Address - Street 1:73131 COUNTRY CLUB DR
Mailing Address - Street 2:C5
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-2339
Mailing Address - Country:US
Mailing Address - Phone:760-568-1300
Mailing Address - Fax:760-568-1270
Practice Address - Street 1:73131 COUNTRY CLUB DR
Practice Address - Street 2:C5
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-2339
Practice Address - Country:US
Practice Address - Phone:760-568-1300
Practice Address - Fax:760-568-1270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-20
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA 7892261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHA 7892OtherCA- HEARING AID DISPENSER