Basic Information
| Provider Information | |||||||||
| NPI: | 1780723965 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BEVERLY HILLS HEARING CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9100 WILSHIRE BLVD | ||||||||
| Address2: | SUITE 310E | ||||||||
| City: | BEVERLY HILLS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 902123415 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3102768585 | ||||||||
| FaxNumber: | 3102762045 | ||||||||
| Practice Location | |||||||||
| Address1: | 9100 WILSHIRE BLVD | ||||||||
| Address2: | SUITE 310E | ||||||||
| City: | BEVERLY HILLS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 902123415 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3102768585 | ||||||||
| FaxNumber: | 3102762045 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/05/2007 | ||||||||
| LastUpdateDate: | 06/05/2009 | ||||||||
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| AuthorizedOfficialLastName: | BAEHR | ||||||||
| AuthorizedOfficialFirstName: | BONNIE | ||||||||
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| AuthorizedOfficialTitleorPosition: | AUDIOLOGIST | ||||||||
| AuthorizedOfficialTelephone: | 3102768585 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | AU.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237600000X | AU267 | CA | Y | 193400000X SINGLE SPECIALTY GROUP | Speech, Language and Hearing Service Providers | Audiologist-Hearing Aid Fitter |
No ID Information.