Provider Demographics
NPI:1760771349
Name:SECOND CHANCE HEARING CENTER, INC.
Entity Type:Organization
Organization Name:SECOND CHANCE HEARING CENTER, INC.
Other - Org Name:SECOND CHANCE HEARING, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER/AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:SHARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:AUD, CCC-A
Authorized Official - Phone:805-870-4498
Mailing Address - Street 1:3180 WILLOW LN STE 218
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91361-4992
Mailing Address - Country:US
Mailing Address - Phone:805-870-4498
Mailing Address - Fax:805-870-4625
Practice Address - Street 1:3180 WILLOW LN STE 218
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91361-4992
Practice Address - Country:US
Practice Address - Phone:805-870-4498
Practice Address - Fax:805-870-4625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-04
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU2753237600000X
237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty