Provider Demographics
NPI:1134445281
Name:NEW EAR HEARING AID CENTER, INC.
Entity type:Organization
Organization Name:NEW EAR HEARING AID CENTER, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:PELLANDINI
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSE HA7267
Authorized Official - Phone:707-523-3830
Mailing Address - Street 1:2200 COUNTY CENTER DR
Mailing Address - Street 2:SUITE G
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95403-3000
Mailing Address - Country:US
Mailing Address - Phone:707-523-3830
Mailing Address - Fax:707-523-0260
Practice Address - Street 1:2200 COUNTY CENTER DR
Practice Address - Street 2:SUITE G
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95403-3000
Practice Address - Country:US
Practice Address - Phone:707-523-3830
Practice Address - Fax:707-523-0260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-14
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA2892332B00000X, 332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies