Provider Demographics
NPI:1508272675
Name:HEARSTONE AUDIOLOGY PC
Entity Type:Organization
Organization Name:HEARSTONE AUDIOLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:IRIS
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:STONE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-A
Authorized Official - Phone:818-222-4327
Mailing Address - Street 1:4764 PARK GRANADA
Mailing Address - Street 2:SUITE 109
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-1545
Mailing Address - Country:US
Mailing Address - Phone:818-222-4327
Mailing Address - Fax:818-222-4328
Practice Address - Street 1:4764 PARK GRANADA
Practice Address - Street 2:SUITE 109
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-1545
Practice Address - Country:US
Practice Address - Phone:818-222-4327
Practice Address - Fax:818-222-4328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-09
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2480237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty