Provider Demographics
NPI:1285121459
Name:TEK HEARING CARE INC
Entity type:Organization
Organization Name:TEK HEARING CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:GILILLAND
Authorized Official - Suffix:
Authorized Official - Credentials:HAD
Authorized Official - Phone:626-533-3863
Mailing Address - Street 1:26880 SIERRA HWY STE C-6
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91321-2228
Mailing Address - Country:US
Mailing Address - Phone:661-253-4514
Mailing Address - Fax:
Practice Address - Street 1:26880 SIERRA HWY STE C-6
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91321-2228
Practice Address - Country:US
Practice Address - Phone:661-253-4514
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-13
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA6041237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty