Provider Demographics
NPI:1811311442
Name:THE EAR GROUP HEARING CENTERS, INC.
Entity type:Organization
Organization Name:THE EAR GROUP HEARING CENTERS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:YOAV
Authorized Official - Middle Name:
Authorized Official - Last Name:SHALEV
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:818-716-6189
Mailing Address - Street 1:6700 FALLBROOK AVE
Mailing Address - Street 2:SUITE 295
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-3530
Mailing Address - Country:US
Mailing Address - Phone:818-716-6189
Mailing Address - Fax:818-716-6199
Practice Address - Street 1:6700 FALLBROOK AVE
Practice Address - Street 2:SUITE 295
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-3530
Practice Address - Country:US
Practice Address - Phone:818-716-6189
Practice Address - Fax:818-716-6199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-18
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU2554237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAU2554Medicare PIN