Provider Demographics
NPI:1124233655
Name:RICHARDSON QUALITY HEARING AID CENTER
Entity type:Organization
Organization Name:RICHARDSON QUALITY HEARING AID CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:HEARING SPECIALIST
Authorized Official - Phone:951-925-9948
Mailing Address - Street 1:1001 E LATHAM AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92543-4435
Mailing Address - Country:US
Mailing Address - Phone:951-925-9948
Mailing Address - Fax:951-925-8333
Practice Address - Street 1:1001 E LATHAM AVE
Practice Address - Street 2:SUITE C
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543-4435
Practice Address - Country:US
Practice Address - Phone:951-925-9948
Practice Address - Fax:951-925-8333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA2836237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty