Provider Demographics
NPI:1801344239
Name:NATIONAL HEARING AID CENTER
Entity type:Organization
Organization Name:NATIONAL HEARING AID CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:PROF
Authorized Official - First Name:NELTON
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:ROBERTSON
Authorized Official - Suffix:II
Authorized Official - Credentials:HEARING AID DISPENSE
Authorized Official - Phone:310-429-7040
Mailing Address - Street 1:4477 W 118TH ST STE 103
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-2256
Mailing Address - Country:US
Mailing Address - Phone:310-664-4728
Mailing Address - Fax:310-644-7222
Practice Address - Street 1:4477 W 118TH ST STE 103
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-2256
Practice Address - Country:US
Practice Address - Phone:310-664-4728
Practice Address - Fax:310-644-7222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-14
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA3141332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment