Organization
ADVANCED HEARING AIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIN M LOVELESS BC-HIS (OWNER)
(760) 365-0691
Entity
Organization
Contact information
Practice address
56970 YUCCA TRL # 102, YUCCA VALLEY, CA 92284-3753
(760) 365-0691
(760) 365-0692
Mailing address
56970 YUCCA TRL # 102, YUCCA VALLEY, CA 92284-3753
(760) 365-0691
(760) 365-0692
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA 1932
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ45183Z
BLUE SHIELD OF CALIFORNIA
CA
05
—
ZZZ71937Z
—
CA
Enumeration date
12/05/2006
Last updated
07/06/2009
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