Provider Demographics
NPI:1942921218
Name:SHAAM BUSINESS CORP
Entity Type:Organization
Organization Name:SHAAM BUSINESS CORP
Other - Org Name:SOUTH COAST HEARING SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR OF AUDIOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:NISREEN
Authorized Official - Middle Name:NISREEN
Authorized Official - Last Name:ALKHAYER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:949-558-8035
Mailing Address - Street 1:30030 TOWN CENTER DR
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-2046
Mailing Address - Country:US
Mailing Address - Phone:309-825-3612
Mailing Address - Fax:949-607-4400
Practice Address - Street 1:30030 TOWN CENTER DR
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-2046
Practice Address - Country:US
Practice Address - Phone:309-825-3612
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-06
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty