Provider Demographics
NPI:1184707275
Name:SHARP HEARING INC
Entity type:Organization
Organization Name:SHARP HEARING INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KAMBIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-983-0444
Mailing Address - Street 1:1300 W GWNZALES ROAD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-3354
Mailing Address - Country:US
Mailing Address - Phone:805-983-0444
Mailing Address - Fax:805-278-6051
Practice Address - Street 1:1300 W GWNZALES ROAD
Practice Address - Street 2:SUITE 108
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-3354
Practice Address - Country:US
Practice Address - Phone:805-983-0444
Practice Address - Fax:805-278-6051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHA4181Medicaid
CAHA4181Medicaid