Organization
WEST COAST HEARING LLC
Active
Organization
WEST COAST HEARING LLC
Active
Other names
Miracle Ear
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE LONG (HEARING INSTRUMENT SPECIALIST)
(209) 256-4730
Entity
Organization
Contact information
Practice address
2225 PLAZA PARKWAY, SUITE C6, MODESTO, CA 95350-6215
(209) 526-4730
(209) 521-0996
Mailing address
131 ENTERPRISE RD, JOHNSTOWN, NY 12095-3326
(401) 353-4174
(401) 488-5774
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
7793
CA
Other
Enumeration date
05/20/2007
Last updated
12/03/2015
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