Basic Information
| Provider Information | |||||||||
| NPI: | 1053833749 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | AURALCARE HEARING CENTERS OF AMERICA, LLC | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | MY HEARING CENTERS | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8941 S 700 E STE 204 | ||||||||
| Address2: | |||||||||
| City: | SANDY | ||||||||
| State: | UT | ||||||||
| PostalCode: | 840702402 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 18018498497 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 10650 SCRIPPS RANCH BLVD STE 108 | ||||||||
| Address2: | |||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921312471 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8584337095 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/13/2017 | ||||||||
| LastUpdateDate: | 07/13/2017 | ||||||||
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| AuthorizedOfficialLastName: | ROBE | ||||||||
| AuthorizedOfficialFirstName: | JEFF | ||||||||
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| AuthorizedOfficialTitleorPosition: | VICE PRESIDENT OPERATIONS | ||||||||
| AuthorizedOfficialTelephone: | 8018498497 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | VP OPS | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QH0700X | Y | Ambulatory Health Care Facilities | Clinic/Center | Hearing and Speech |
No ID Information.