Provider Demographics
NPI:1295935021
Name:CALIFORNIA HEARING CLINICS
Entity type:Organization
Organization Name:CALIFORNIA HEARING CLINICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-782-0154
Mailing Address - Street 1:703 PIER AVE
Mailing Address - Street 2:B152
Mailing Address - City:HERMOSA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90254-3949
Mailing Address - Country:US
Mailing Address - Phone:310-782-0154
Mailing Address - Fax:310-782-0155
Practice Address - Street 1:703 PIER AVE
Practice Address - Street 2:B152
Practice Address - City:HERMOSA BEACH
Practice Address - State:CA
Practice Address - Zip Code:90254-3949
Practice Address - Country:US
Practice Address - Phone:310-782-0154
Practice Address - Fax:310-782-0155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-19
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA3942237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHA3942OtherSTATE LICENSE