Provider Demographics
NPI:1215487806
Name:SAN DIEGO HEARING CENTER, INC.
Entity type:Organization
Organization Name:SAN DIEGO HEARING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOBRITCHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-279-3277
Mailing Address - Street 1:4282 GENESEE AVE STE 301
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-4998
Mailing Address - Country:US
Mailing Address - Phone:858-279-3277
Mailing Address - Fax:858-279-3281
Practice Address - Street 1:4282 GENESEE AVE STE 301
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92117-4998
Practice Address - Country:US
Practice Address - Phone:858-279-3277
Practice Address - Fax:858-279-3281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-07
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU3140237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty