Provider Demographics
NPI:1215292867
Name:CALIFORNIA HEARING CENTER
Entity type:Organization
Organization Name:CALIFORNIA HEARING CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:L
Authorized Official - Last Name:DOBRIK
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:714-672-9100
Mailing Address - Street 1:440 S BREA BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-5338
Mailing Address - Country:US
Mailing Address - Phone:714-672-9100
Mailing Address - Fax:714-672-9300
Practice Address - Street 1:440 S BREA BLVD STE A
Practice Address - Street 2:
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-5338
Practice Address - Country:US
Practice Address - Phone:714-672-9100
Practice Address - Fax:714-672-9300
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DOBRIK HEARING CARE INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-07-10
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA3009237700000X, 332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
No332S00000XSuppliersHearing Aid EquipmentGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1154556124OtherNPI