Provider Demographics
NPI:1194923995
Name:PARADISE HEARING & BALANCE CLINICS INC
Entity type:Organization
Organization Name:PARADISE HEARING & BALANCE CLINICS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CORPORATE SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:P
Authorized Official - Last Name:TOUCHETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-872-5500
Mailing Address - Street 1:5500 CLARK RD
Mailing Address - Street 2:
Mailing Address - City:PARADISE
Mailing Address - State:CA
Mailing Address - Zip Code:95969-5106
Mailing Address - Country:US
Mailing Address - Phone:530-872-5500
Mailing Address - Fax:530-872-7423
Practice Address - Street 1:5500 CLARK RD
Practice Address - Street 2:
Practice Address - City:PARADISE
Practice Address - State:CA
Practice Address - Zip Code:95969-5106
Practice Address - Country:US
Practice Address - Phone:530-872-5500
Practice Address - Fax:530-872-7423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-03
Last Update Date:2010-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU1853231H00000X
CAHA3855237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty