Provider Demographics
NPI:1841414760
Name:ADVANCED HEARING SYSTEMS
Entity Type:Organization
Organization Name:ADVANCED HEARING SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IRAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:BABAEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-426-1820
Mailing Address - Street 1:4125 MOHR AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-4749
Mailing Address - Country:US
Mailing Address - Phone:925-426-1820
Mailing Address - Fax:925-426-8907
Practice Address - Street 1:4125 MOHR AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-4749
Practice Address - Country:US
Practice Address - Phone:925-426-1820
Practice Address - Fax:925-426-8907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA3614237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHA3614OtherSTATE LICENSE