Provider Demographics
NPI:1952770810
Name:UNION HEARING AID CENTER INC.
Entity Type:Organization
Organization Name:UNION HEARING AID CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISPENSING AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:SIMON
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:DEVILLY
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:323-721-6424
Mailing Address - Street 1:5615 WHITTIER BLVD STE E
Mailing Address - Street 2:
Mailing Address - City:COMMERCE
Mailing Address - State:CA
Mailing Address - Zip Code:90022-4128
Mailing Address - Country:US
Mailing Address - Phone:323-721-6424
Mailing Address - Fax:323-721-1815
Practice Address - Street 1:5615 WHITTIER BLVD STE E
Practice Address - Street 2:
Practice Address - City:COMMERCE
Practice Address - State:CA
Practice Address - Zip Code:90022-4128
Practice Address - Country:US
Practice Address - Phone:323-721-6424
Practice Address - Fax:323-721-1815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-22
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU2040237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty