Provider Demographics
NPI:1508080896
Name:HEARING CONSULTANTS OF CALIFORNIA
Entity Type:Organization
Organization Name:HEARING CONSULTANTS OF CALIFORNIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:DANHAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-696-6811
Mailing Address - Street 1:191 BURTON MESA BLVD
Mailing Address - Street 2:STE.C
Mailing Address - City:LOMPOC
Mailing Address - State:CA
Mailing Address - Zip Code:93436-1400
Mailing Address - Country:US
Mailing Address - Phone:805-696-6811
Mailing Address - Fax:805-696-6453
Practice Address - Street 1:191 BURTON MESA BLVD
Practice Address - Street 2:STE.C
Practice Address - City:LOMPOC
Practice Address - State:CA
Practice Address - Zip Code:93436-1400
Practice Address - Country:US
Practice Address - Phone:805-696-6811
Practice Address - Fax:805-696-6453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAUD512231H00000X
CAAU1984231H00000X
CA2283237700000X
CA4003237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Not Answered237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0001410Medicaid
CAGR0001411Medicaid
CAAUD512Medicare ID - Type UnspecifiedAUDIOLOGY
CAAU1984Medicare ID - Type UnspecifiedAUDIOLOGY