Provider Demographics
NPI:1932400538
Name:DECIBEL HEARING SERVICES
Entity Type:Organization
Organization Name:DECIBEL HEARING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:BLAIR
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:805-584-3327
Mailing Address - Street 1:2655 FIRST ST., SUITE 170
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-1548
Mailing Address - Country:US
Mailing Address - Phone:805-584-3327
Mailing Address - Fax:805-584-3329
Practice Address - Street 1:2655 1ST ST STE 170
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-1565
Practice Address - Country:US
Practice Address - Phone:805-584-3327
Practice Address - Fax:805-584-3329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-12
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU1107231H00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAEU884AMedicare PIN