Organization
PACIFIC COAST HEARING AID CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L. PELLANDINI (OWNER/MANAGER)
(707) 962-9230
Entity
Organization
Contact information
Practice address
347 CYPRESS ST, SUITE D, FORT BRAGG, CA 95437-5458
(707) 962-9230
(707) 962-9230
Mailing address
347 CYPRESS ST, SUITE D, FORT BRAGG, CA 95437-5458
(707) 962-9230
(707) 962-9230
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
HA2892
CA
332S00000X
Hearing Aid Equipment
Primary
HA2892
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HA2892
HEARING AID DISPENSERS LICENSE
CA
Enumeration date
04/09/2012
Last updated
04/09/2012
Update your record
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