Harbor Hearing Services, Professional Corporation

Primary specialty

AudiologistTaxonomy code 231H00000X

Legal business name

HARBOR HEARING SERVICES, PROFESSIONAL CORPORATION

Doing business as

Harbor Hearing

Practice address

1360 W 6TH St Ste 243
San Pedro, CA 90732-3589

Phone

(424) 570-0117

Fax

(424) 570-0499

NPI assigned

Sep 26, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Bullock, AUDNPI 1184976409

Title

President/Ceo

Phone

(424) 570-0117

Specialties & licenses 1

Addresses

Other names 1

• Harbor Hearing Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Douglas Bullock, AUD

  • Audiologist
  • San Pedro, CA
  • NPI 1184976409
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537920000000",
    "number": "1568947430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MONTEREY BLVD",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902544582",
            "telephone_number": "479-459-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 W 6TH ST STE 243",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323589",
            "telephone_number": "424-570-0117",
            "fax_number": "424-570-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR HEARING SERVICES, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-09-26",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "424-570-0117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor Hearing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Joseph D Harrington, RADT

• Audiologist in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.