Provider Demographics
NPI:1427229996
Name:NATIONAL HEARING CARE CENTER
Entity Type:Organization
Organization Name:NATIONAL HEARING CARE CENTER
Other - Org Name:ADVANCED HEARING AID CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MYONG-SU
Authorized Official - Middle Name:JEFF
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:HA
Authorized Official - Phone:909-477-6500
Mailing Address - Street 1:7365 CARNELIAN ST STE 105
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-1156
Mailing Address - Country:US
Mailing Address - Phone:909-477-6500
Mailing Address - Fax:909-477-6383
Practice Address - Street 1:7365 CARNELIAN ST STE 105
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-1156
Practice Address - Country:US
Practice Address - Phone:909-477-6500
Practice Address - Fax:909-477-6383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-12
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA7106332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHA7106OtherHEARING AID DISPENSER