Provider Demographics
NPI:1558165662
Name:HASHEMI NIA, BEHNAZ
Entity type:Individual
Prefix:
First Name:BEHNAZ
Middle Name:
Last Name:HASHEMI NIA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1313 W WINONA ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-2909
Mailing Address - Country:US
Mailing Address - Phone:669-200-4619
Mailing Address - Fax:
Practice Address - Street 1:803 CAMARILLO SPRINGS RD FL 1
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93012-9459
Practice Address - Country:US
Practice Address - Phone:747-567-4447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHA9070OtherHAD LICENSE