Organization
ACTIVE HEARING INC
Active
Other names
Sonus SF0016
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EHSAN JASON KAMALVAND HAD (OWNER)
(770) 527-5223
Entity
Organization
Contact information
Practice address
260 MAIN ST, STE F, REDWOOD CITY, CA 94063-1778
(650) 366-2900
(650) 366-2908
Mailing address
260 MAIN ST, STE F, REDWOOD CITY, CA 94063-1778
(650) 366-2900
(650) 366-2908
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
HA6014
CA
Other
Enumeration date
09/13/2011
Last updated
04/28/2014
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