Provider Demographics
NPI:1861827073
Name:BELLOWS HEARING INSTITUTE, LLC
Entity Type:Organization
Organization Name:BELLOWS HEARING INSTITUTE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LIZ
Authorized Official - Middle Name:NATHAN
Authorized Official - Last Name:BELLOWS
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCCA
Authorized Official - Phone:760-340-6494
Mailing Address - Street 1:74133 EL PASEO STE 6
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-4122
Mailing Address - Country:US
Mailing Address - Phone:760-340-6494
Mailing Address - Fax:760-568-1235
Practice Address - Street 1:74133 EL PASEO STE 6
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-4122
Practice Address - Country:US
Practice Address - Phone:760-340-6494
Practice Address - Fax:760-568-1235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-06
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ43665ZMedicare PIN