Provider Demographics
NPI:1689049140
Name:BURBANK HEARING AID SPECIALISTS,INC.
Entity Type:Organization
Organization Name:BURBANK HEARING AID SPECIALISTS,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:
Authorized Official - Last Name:LIPIN
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:818-848-5484
Mailing Address - Street 1:4020 W MAGNOLIA BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-2828
Mailing Address - Country:US
Mailing Address - Phone:818-848-5484
Mailing Address - Fax:818-848-9160
Practice Address - Street 1:4020 W MAGNOLIA BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-2828
Practice Address - Country:US
Practice Address - Phone:818-848-5484
Practice Address - Fax:818-848-9160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-09
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA 2248332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment