Provider Demographics
NPI:1841616646
Name:HEARING SCIENCE OF THE FOOTHILLS
Entity Type:Organization
Organization Name:HEARING SCIENCE OF THE FOOTHILLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KERI
Authorized Official - Middle Name:L
Authorized Official - Last Name:PAUR
Authorized Official - Suffix:
Authorized Official - Credentials:HAD
Authorized Official - Phone:818-248-8648
Mailing Address - Street 1:2409 HONOLULU AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MONTROSE
Mailing Address - State:CA
Mailing Address - Zip Code:91020-1871
Mailing Address - Country:US
Mailing Address - Phone:818-248-8648
Mailing Address - Fax:818-248-7928
Practice Address - Street 1:2409 HONOLULU AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:MONTROSE
Practice Address - State:CA
Practice Address - Zip Code:91020-1871
Practice Address - Country:US
Practice Address - Phone:818-248-8648
Practice Address - Fax:818-248-7928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-17
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA 7513332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment