Provider Demographics
NPI:1932409539
Name:MJK HEARING CARE CENTER, INC.
Entity Type:Organization
Organization Name:MJK HEARING CARE CENTER, INC.
Other - Org Name:ADVANCED HEARING AID CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MR
Authorized Official - First Name:MYONG-SU
Authorized Official - Middle Name:JEFFREY
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-963-7900
Mailing Address - Street 1:342 W FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91741-3327
Mailing Address - Country:US
Mailing Address - Phone:626-963-7900
Mailing Address - Fax:
Practice Address - Street 1:342 W FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91741-3327
Practice Address - Country:US
Practice Address - Phone:626-963-7900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-28
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA 7106332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment