Provider Demographics
NPI:1386771525
Name:HEARING AIDS OF NAPA LLC
Entity type:Organization
Organization Name:HEARING AIDS OF NAPA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:M
Authorized Official - Last Name:AGUINALDO CIMOLINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-257-3889
Mailing Address - Street 1:3353 BEARD ROAD
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-3407
Mailing Address - Country:US
Mailing Address - Phone:707-257-3889
Mailing Address - Fax:707-257-2072
Practice Address - Street 1:3353 BEARD ROAD
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-3407
Practice Address - Country:US
Practice Address - Phone:707-257-3889
Practice Address - Fax:707-257-2072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2791332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
171246000OtherUS DEPT OF LABOR
CAHA0027910Medicaid