Organization
HEAR WELL CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN MARTINEZ AU.D, PH.D (PROVIDER)
(562) 989-8101
Entity
Organization
Contact information
Practice address
3605 LONG BEACH BLVD STE 110, LONG BEACH, CA 90807-4023
(562) 989-8101
(562) 989-8119
Mailing address
3605 LONG BEACH BLVD STE 110, LONG BEACH, CA 90807-4023
(562) 989-8101
(562) 989-8119
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902864655
NPI
CA
05
—
AU0012320
—
CA
01
—
AUD1232A
MEDICARE ID TYPE
CA
01
—
R90058
MEDICARE UPIN
CA
Enumeration date
05/13/2021
Last updated
05/13/2021
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