Provider Demographics
NPI:1568096436
Name:ELITE HEARING AID GROUP INC
Entity Type:Organization
Organization Name:ELITE HEARING AID GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SOHEIL
Authorized Official - Middle Name:S
Authorized Official - Last Name:MOGHADAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-988-9268
Mailing Address - Street 1:4085 ATLANTIC AVE STE D
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-2904
Mailing Address - Country:US
Mailing Address - Phone:562-988-9268
Mailing Address - Fax:562-988-9319
Practice Address - Street 1:4085 ATLANTIC AVE STE D
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-2904
Practice Address - Country:US
Practice Address - Phone:562-988-9268
Practice Address - Fax:562-988-9319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-28
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment