Provider Demographics
NPI:1730840646
Name:BERKELEY HEARING CENTER LLC
Entity type:Organization
Organization Name:BERKELEY HEARING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAKAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-841-0681
Mailing Address - Street 1:2748 SAN PABLO AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94702-2240
Mailing Address - Country:US
Mailing Address - Phone:510-841-0681
Mailing Address - Fax:510-841-0695
Practice Address - Street 1:2748 SAN PABLO AVE
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94702-2240
Practice Address - Country:US
Practice Address - Phone:510-841-0681
Practice Address - Fax:510-841-0695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-03
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and SpeechGroup - Single Specialty