Provider Demographics
NPI:1598996969
Name:TAEYOUNG HEARING CENTER
Entity Type:Organization
Organization Name:TAEYOUNG HEARING CENTER
Other - Org Name:BELTONE SOUTHERN CALIFORNIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KELVIN
Authorized Official - Middle Name:YOUNG
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:AUDIOPROSTHOLOGIST/H
Authorized Official - Phone:714-672-9445
Mailing Address - Street 1:1020 E. BASTANCHURY ROAD
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-2782
Mailing Address - Country:US
Mailing Address - Phone:714-672-9445
Mailing Address - Fax:714-672-9448
Practice Address - Street 1:1020 E. BASTANCHURY ROAD
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835-2782
Practice Address - Country:US
Practice Address - Phone:714-672-9445
Practice Address - Fax:714-672-9448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-04
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA2828237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty