Provider Demographics
NPI:1609916857
Name:AAA HEARING SERVICES, INC
Entity Type:Organization
Organization Name:AAA HEARING SERVICES, INC
Other - Org Name:AAA HEARING AID CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KIELY
Authorized Official - Middle Name:J
Authorized Official - Last Name:BALL
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:801-205-2581
Mailing Address - Street 1:PO BOX 2122
Mailing Address - Street 2:
Mailing Address - City:MOORPARK
Mailing Address - State:CA
Mailing Address - Zip Code:93020-2122
Mailing Address - Country:US
Mailing Address - Phone:805-552-0888
Mailing Address - Fax:805-552-0263
Practice Address - Street 1:30011 IVY GLENN DR
Practice Address - Street 2:STE 115
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-5014
Practice Address - Country:US
Practice Address - Phone:805-552-0888
Practice Address - Fax:805-552-0263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA 7244237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty