Coastal Hearing Solutions, Inc.

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

H42915 Issued in CA

Legal business name

COASTAL HEARING SOLUTIONS, INC.

Doing business as

DBA MIRACLE EAR CENTER

Practice address

882 Boysen Ave
San Luis Obispo, CA 93405-1311

Phone

(805) 544-0592

Fax

(805) 544-4642

NPI assigned

Feb 14, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Kenny Lee Fairfield

Title

Secretary

Phone

(805) 544-0592

Specialties & licenses 1

Addresses

Other names 1

• DBA MIRACLE EAR CENTER Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1114195997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "882 BOYSEN AVE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051311",
            "telephone_number": "805-544-0592",
            "fax_number": "805-544-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "882 BOYSEN AVE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051311",
            "telephone_number": "805-544-0592",
            "fax_number": "805-544-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL HEARING SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "FAIRFIELD",
        "authorized_official_first_name": "KENNY LEE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "805-544-0592",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "H42915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA MIRACLE EAR CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hearing Instrument Specialist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Hearing Instrument Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.