Provider Demographics
NPI:1467631689
Name:SUMMIT HEARING CENTERS
Entity Type:Organization
Organization Name:SUMMIT HEARING CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALNOOR
Authorized Official - Middle Name:
Authorized Official - Last Name:KOORJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-796-2003
Mailing Address - Street 1:38750 PASEO PADRE PKWY
Mailing Address - Street 2:A5
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536-6135
Mailing Address - Country:US
Mailing Address - Phone:510-796-2003
Mailing Address - Fax:510-793-8225
Practice Address - Street 1:38750 PASEO PADRE PKWY
Practice Address - Street 2:A5
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94536-6135
Practice Address - Country:US
Practice Address - Phone:510-796-2003
Practice Address - Fax:510-793-8225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-25
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA3794332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies