Organization
MHC SOCAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LARSEN (CFO)
(801) 849-8497
Entity
Organization
Contact information
Practice address
8500 WILSHIRE BLVD, 103, BEVERLY HILLS, CA 90211-3121
(310) 360-0332
(310) 360-6891
Mailing address
8941 S 700 E, 204, SANDY, UT 84070-2400
(801) 849-8497
(801) 200-3502
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
237600000X
Audiologist-Hearing Aid Fitter
—
—
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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