Provider Demographics
NPI:1932129848
Name:HEARING SCIENCE OF DALY CITY
Entity Type:Organization
Organization Name:HEARING SCIENCE OF DALY CITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:EVE
Authorized Official - Last Name:RAGGIO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, CCC-A
Authorized Official - Phone:650-994-3410
Mailing Address - Street 1:333 GELLERT BLVD
Mailing Address - Street 2:118
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015
Mailing Address - Country:US
Mailing Address - Phone:650-994-3410
Mailing Address - Fax:650-994-5587
Practice Address - Street 1:333 GELLERT BLVD
Practice Address - Street 2:118
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015
Practice Address - Country:US
Practice Address - Phone:650-994-3410
Practice Address - Fax:650-994-5587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA636231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGAU000520Medicaid
CAZZZ54367ZOtherBLUE CROSS/BLUE SHIELD
CAZZZ54368ZOtherBLUE SHIELD
CAZZZ30418ZMedicare ID - Type Unspecified
CAAU636Medicare UPIN