Provider Demographics
NPI:1659300499
Name:WEST COAST HEARING & BALANCE CENTER
Entity type:Organization
Organization Name:WEST COAST HEARING & BALANCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:ASHLEY
Authorized Official - Last Name:ROHM
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:805-953-0375
Mailing Address - Street 1:2876 SYCAMORE DR STE 303
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-1550
Mailing Address - Country:US
Mailing Address - Phone:805-583-8698
Mailing Address - Fax:805-527-2426
Practice Address - Street 1:2876 SYCAMORE DR
Practice Address - Street 2:STE # 303
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-1550
Practice Address - Country:US
Practice Address - Phone:805-583-8698
Practice Address - Fax:805-527-2426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No332S00000XSuppliersHearing Aid EquipmentGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGAU000991Medicaid
CAW18144AMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER