Provider Demographics
NPI:1477127538
Name:HEAR WELL CENTERS
Entity Type:Organization
Organization Name:HEAR WELL CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:AUD, PHD
Authorized Official - Phone:562-989-8101
Mailing Address - Street 1:3605 LONG BEACH BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-4023
Mailing Address - Country:US
Mailing Address - Phone:562-989-8101
Mailing Address - Fax:562-989-8119
Practice Address - Street 1:3605 LONG BEACH BLVD STE 110
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-4023
Practice Address - Country:US
Practice Address - Phone:562-989-8101
Practice Address - Fax:562-989-8119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-13
Last Update Date:2021-05-13
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
CAAU0012320Medicaid
CAAUD1232AOtherMEDICARE ID TYPE
CA1902864655OtherNPI
CAR90058OtherMEDICARE UPIN