Provider Demographics
NPI:1790120269
Name:CALIFORNIA HEARING AND BALANCE CENTER
Entity Type:Organization
Organization Name:CALIFORNIA HEARING AND BALANCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RITVIK
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:858-909-0770
Mailing Address - Street 1:9834 GENESEE AVE
Mailing Address - Street 2:SUITE 111
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1223
Mailing Address - Country:US
Mailing Address - Phone:858-909-0770
Mailing Address - Fax:858-909-0880
Practice Address - Street 1:9834 GENESEE AVE
Practice Address - Street 2:SUITE 111
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1223
Practice Address - Country:US
Practice Address - Phone:858-909-0770
Practice Address - Fax:858-909-0880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-09
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA93336261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech