Provider Demographics
NPI:1639884794
Name:ABBOTT HEARING CENTERS
Entity Type:Organization
Organization Name:ABBOTT HEARING CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIANNA
Authorized Official - Middle Name:CVETKO
Authorized Official - Last Name:LUNG
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:619-741-4905
Mailing Address - Street 1:7424 JACKSON DR STE 1
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92119-2324
Mailing Address - Country:US
Mailing Address - Phone:619-741-4905
Mailing Address - Fax:619-741-4380
Practice Address - Street 1:7424 JACKSON DR STE 1
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92119-2324
Practice Address - Country:US
Practice Address - Phone:619-741-4905
Practice Address - Fax:619-741-4380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-23
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty