Provider Demographics
NPI:1629621511
Name:AJM HEARING CARE SERVICES
Entity Type:Organization
Organization Name:AJM HEARING CARE SERVICES
Other - Org Name:ACTIVE HEARING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHASE
Authorized Official - Middle Name:
Authorized Official - Last Name:MACCLELLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-426-5800
Mailing Address - Street 1:13121 CLEARWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LA MIRADA
Mailing Address - State:CA
Mailing Address - Zip Code:90638-1815
Mailing Address - Country:US
Mailing Address - Phone:661-426-5800
Mailing Address - Fax:562-219-5421
Practice Address - Street 1:2141 ACADEMY CIR STE 103
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-1672
Practice Address - Country:US
Practice Address - Phone:719-600-2216
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-19
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty