Organization
HEARING SERVICES CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAIL RUST GRABER MA/AUDIOLOGY (PRESIDENT)
(209) 368-9222
Entity
Organization
Contact information
Practice address
1101 W TOKAY ST, STE 4, LODI, CA 95240-3808
(209) 368-9222
(209) 368-9222
Mailing address
1101 W TOKAY ST, STE 4, LODI, CA 95240-3808
(209) 368-9222
(209) 368-4662
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AU1831
CA
237600000X
Audiologist-Hearing Aid Fitter
AU570
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GAU000680
—
CA
01
—
ZZZ51192Z
BLUE SHIELD
—
Enumeration date
08/23/2005
Last updated
08/22/2020
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