Provider Demographics
NPI:1801169362
Name:ADVANCED HEARING AID CENTER
Entity type:Organization
Organization Name:ADVANCED HEARING AID CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, HEARING AIDS SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:C
Authorized Official - Last Name:KANANEN
Authorized Official - Suffix:
Authorized Official - Credentials:NBC-HIS, ACA, HA2944
Authorized Official - Phone:925-687-3211
Mailing Address - Street 1:425 GREGORY LN STE 202
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-2813
Mailing Address - Country:US
Mailing Address - Phone:925-674-8621
Mailing Address - Fax:925-674-0874
Practice Address - Street 1:425 GREGORY LN STE 202
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-2813
Practice Address - Country:US
Practice Address - Phone:925-674-8621
Practice Address - Fax:925-674-0874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-14
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA2944237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty