Provider Demographics
NPI:1457983728
Name:ADVANCED HEARING AID CENTER, INC.
Entity type:Organization
Organization Name:ADVANCED HEARING AID CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:
Authorized Official - First Name:MYONG-SU
Authorized Official - Middle Name:JEFFREY
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:HEARING AID SPECIALI
Authorized Official - Phone:626-963-7900
Mailing Address - Street 1:342 W FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91741-3327
Mailing Address - Country:US
Mailing Address - Phone:626-963-7900
Mailing Address - Fax:888-452-3813
Practice Address - Street 1:342 W FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91741-3327
Practice Address - Country:US
Practice Address - Phone:626-963-7900
Practice Address - Fax:888-452-3813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-05
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech