Provider Demographics
NPI:1649366501
Name:HEARING DYNAMIC ENTERPRIS INC.
Entity type:Organization
Organization Name:HEARING DYNAMIC ENTERPRIS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:JOESPH
Authorized Official - Last Name:STRONG
Authorized Official - Suffix:
Authorized Official - Credentials:HD
Authorized Official - Phone:909-397-9247
Mailing Address - Street 1:3233 GRAND AVE
Mailing Address - Street 2:329
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-1489
Mailing Address - Country:US
Mailing Address - Phone:909-397-9247
Mailing Address - Fax:909-397-9248
Practice Address - Street 1:1700 ALAMEDA ST
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91768-1727
Practice Address - Country:US
Practice Address - Phone:909-397-9247
Practice Address - Fax:909-397-9248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGAU000850Medicaid
CAGAU000850Medicaid