Provider Demographics
NPI:1194754218
Name:CHEARS, INC.
Entity type:Organization
Organization Name:CHEARS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:FAILLACE
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:619-810-1204
Mailing Address - Street 1:3590 CAMINO DEL RIO N STE 201
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-1707
Mailing Address - Country:US
Mailing Address - Phone:619-810-1204
Mailing Address - Fax:619-517-3233
Practice Address - Street 1:3590 CAMINO DEL RIO N STE 201
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-1707
Practice Address - Country:US
Practice Address - Phone:619-810-1204
Practice Address - Fax:619-517-3233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA231H00000X
261QH0700X, 332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ64849ZOtherBLUE SHIELD
CA=========OtherBLUE CROSS
CAW18473Medicare ID - Type Unspecified