Organization
FREMONT HEARING AID CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERIN HEGLAND (OWNER)
(510) 651-0900
Entity
Organization
Contact information
Practice address
2557 MOWRY AVE STE 31, FREMONT, CA 94538-1614
(510) 651-0900
Mailing address
2557 MOWRY AVE, SUITE 31, FREMONT, CA 94538-1603
(510) 651-0900
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ73902Z
PROVIDER MEDI-CAL NUMBER
CA
Enumeration date
03/07/2007
Last updated
04/25/2012
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