Basic Information
| Provider Information | |||||||||
| NPI: | 1205012341 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | BETTER HEARING SYSTEMS, INC. | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | BETTER HEARING SYSTEMS | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 74941 US HIGHWAY 111 | ||||||||
| Address2: | |||||||||
| City: | INDIAN WELLS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 922107133 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7603404580 | ||||||||
| FaxNumber: | 7603415260 | ||||||||
| Practice Location | |||||||||
| Address1: | 74941 US HIGHWAY 111 | ||||||||
| Address2: | |||||||||
| City: | INDIAN WELLS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 922107133 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7603404580 | ||||||||
| FaxNumber: | 7603415260 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/19/2008 | ||||||||
| LastUpdateDate: | 01/19/2008 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | MARQUESS-LARA | ||||||||
| AuthorizedOfficialFirstName: | JUDITH | ||||||||
| AuthorizedOfficialMiddleName: | KAY | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER, DOCTOR OF AUDIOLOGY | ||||||||
| AuthorizedOfficialTelephone: | 7603404580 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | AU.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237600000X | 1981 | CA | N | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Speech, Language and Hearing Service Providers | Audiologist-Hearing Aid Fitter | 231H00000X | 1981 | CA | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.