Provider Demographics
NPI:1619634664
Name:CA HEARING LLC
Entity Type:Organization
Organization Name:CA HEARING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:JR
Authorized Official - Credentials:CAHAD
Authorized Official - Phone:760-492-0774
Mailing Address - Street 1:333 H ST STE 5000
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-5561
Mailing Address - Country:US
Mailing Address - Phone:760-492-0740
Mailing Address - Fax:
Practice Address - Street 1:333 H ST STE 5000
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-5561
Practice Address - Country:US
Practice Address - Phone:619-349-5410
Practice Address - Fax:855-460-3577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-24
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty