Provider Demographics
NPI:1043484884
Name:SHARP HEARING INC.
Entity type:Organization
Organization Name:SHARP HEARING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KAMBIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-983-0444
Mailing Address - Street 1:1300 W GONZALES RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-3303
Mailing Address - Country:US
Mailing Address - Phone:805-983-0444
Mailing Address - Fax:805-278-6051
Practice Address - Street 1:1300 W GONZALES RD
Practice Address - Street 2:SUITE 108
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-3303
Practice Address - Country:US
Practice Address - Phone:805-983-0444
Practice Address - Fax:805-278-6051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-14
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU0020920231H00000X
CAHA0041810237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1043484884OtherANTHEM BLUE CROSS
1043484884OtherBLUE SHIELD OF CALIFORNIA
1043484884OtherSCAN HEALTH PLAN
1043484884OtherKAISER PERMANENTE
CAGAU001050Medicaid