Provider Demographics
NPI:1619088614
Name:HEARING HELP PROVIDERS INC.
Entity Type:Organization
Organization Name:HEARING HELP PROVIDERS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MORYL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:310-274-2148
Mailing Address - Street 1:437 S ROBERTSON BLVD
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3603
Mailing Address - Country:US
Mailing Address - Phone:310-274-2148
Mailing Address - Fax:310-274-4431
Practice Address - Street 1:437 S ROBERTSON BLVD
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3603
Practice Address - Country:US
Practice Address - Phone:310-274-2148
Practice Address - Fax:310-274-4431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU1307 AND HA2975237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGAU000170Medicaid
CAGAU000170Medicaid