Provider Demographics
NPI:1417218785
Name:CSG BETTER HEARING SERVICES, INC., A PROFESSIONAL AUDIOLOGY CORP.
Entity Type:Organization
Organization Name:CSG BETTER HEARING SERVICES, INC., A PROFESSIONAL AUDIOLOGY CORP.
Other - Org Name:CSG BETTER HEARING, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT/CLINICAL AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:J
Authorized Official - Last Name:SANFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-A
Authorized Official - Phone:925-938-8686
Mailing Address - Street 1:31 PANORAMIC WAY
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94595-1627
Mailing Address - Country:US
Mailing Address - Phone:925-938-8686
Mailing Address - Fax:925-938-7473
Practice Address - Street 1:31 PANORAMIC WAY
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94595-1627
Practice Address - Country:US
Practice Address - Phone:925-938-8686
Practice Address - Fax:925-938-7473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-04
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ22705ZMedicare UPIN