Organization
YUCAIPA HEARING AID CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE K WOOD (VP OPERATIONS)
(909) 797-2104
Entity
Organization
Contact information
Practice address
12197 CALIFORNIA ST, YUCAIPA, CA 92399-4332
(909) 797-2104
(909) 797-6724
Mailing address
12197 CALIFORNIA ST, YUCAIPA, CA 92399-4332
(909) 797-2104
(909) 797-6724
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA5067
CA
332S00000X
Hearing Aid Equipment
HA5067
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HA0050670
—
CA
Enumeration date
01/20/2011
Last updated
01/20/2011
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