Provider Demographics
NPI:1063783397
Name:HEARING HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:HEARING HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:B
Authorized Official - Last Name:REID
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:818-886-4327
Mailing Address - Street 1:10206 MASON AVE
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-3303
Mailing Address - Country:US
Mailing Address - Phone:818-886-4327
Mailing Address - Fax:818-886-4328
Practice Address - Street 1:10206 MASON AVE
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-3303
Practice Address - Country:US
Practice Address - Phone:818-886-4327
Practice Address - Fax:818-886-4328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-18
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU912237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty