Provider Demographics
NPI:1497290381
Name:UNIVERSAL HEARING CARE INC
Entity Type:Organization
Organization Name:UNIVERSAL HEARING CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:818-345-3200
Mailing Address - Street 1:5525 ETIWANDA AVE STE 309
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-6145
Mailing Address - Country:US
Mailing Address - Phone:818-345-3200
Mailing Address - Fax:
Practice Address - Street 1:5525 ETIWANDA AVE STE 309
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-6145
Practice Address - Country:US
Practice Address - Phone:818-345-3200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-30
Last Update Date:2016-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU 3177231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty