Provider Demographics
NPI:1639637747
Name:GOLDEN STATE HEARING AID CENTER INC.
Entity Type:Organization
Organization Name:GOLDEN STATE HEARING AID CENTER INC.
Other - Org Name:GOLDEN STATE HEARING AID CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-287-3272
Mailing Address - Street 1:200 W ROSEBURG AVE STE B2
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95350-5200
Mailing Address - Country:US
Mailing Address - Phone:209-287-3272
Mailing Address - Fax:209-287-3232
Practice Address - Street 1:840 W OLIVE AVE STE E
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95348-2421
Practice Address - Country:US
Practice Address - Phone:209-354-3737
Practice Address - Fax:209-354-3737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-07
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty