Provider Demographics
NPI:1831255595
Name:HEAR CENTER
Entity type:Organization
Organization Name:HEAR CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:SHAPIRO
Authorized Official - Last Name:SIMON
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:626-796-2016
Mailing Address - Street 1:301 E DEL MAR BLVD
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-2714
Mailing Address - Country:US
Mailing Address - Phone:626-796-2016
Mailing Address - Fax:626-796-2320
Practice Address - Street 1:301 E DEL MAR BLVD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-2714
Practice Address - Country:US
Practice Address - Phone:626-796-2016
Practice Address - Fax:626-796-2320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU640HAD3748231H00000X
CASP8066235Z00000X
CAAU640231HA2400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology PractitionerGroup - Multi-Specialty
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1643OtherCA CHILDRENS SERVICES
CACMM70013FMedicaid
CAHO3845OtherREGIONAL CENTERS