Provider Demographics
NPI:1457669681
Name:WSM HEARING CENTERS OF ORANGE COUNTY, INC
Entity Type:Organization
Organization Name:WSM HEARING CENTERS OF ORANGE COUNTY, INC
Other - Org Name:SONUS SF0007
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARDENAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-993-5652
Mailing Address - Street 1:18220 YORBA LINDA BLVD
Mailing Address - Street 2:STE 312
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886-4057
Mailing Address - Country:US
Mailing Address - Phone:714-993-5652
Mailing Address - Fax:714-993-0425
Practice Address - Street 1:18220 YORBA LINDA BLVD
Practice Address - Street 2:STE 312
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92886-4057
Practice Address - Country:US
Practice Address - Phone:714-993-5652
Practice Address - Fax:714-993-0425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-22
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty