Provider Demographics
NPI:1720632813
Name:CONCIERGE HEARING AID SERVICES INC
Entity Type:Organization
Organization Name:CONCIERGE HEARING AID SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:MEYER-EBERHARD
Authorized Official - Suffix:
Authorized Official - Credentials:HAS
Authorized Official - Phone:949-478-1254
Mailing Address - Street 1:7561 CENTER AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-3067
Mailing Address - Country:US
Mailing Address - Phone:949-478-1254
Mailing Address - Fax:
Practice Address - Street 1:7561 CENTER AVE STE 4
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-3067
Practice Address - Country:US
Practice Address - Phone:949-478-1254
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-28
Last Update Date:2019-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
No332S00000XSuppliersHearing Aid EquipmentGroup - Single Specialty