Shiva Akhavan, HIS

Individual provider Active NPI Hearing Instrument Specialist · Fountain Valley, CA

NPI 1679080949 · NPPES record last updated Jan 8, 2018

Key facts

NPI
1679080949
Entity type
Individual (NPI type 1)
Primary specialty
Hearing Instrument Specialist 237700000X
License
8263 (CA)
Practice address
18643 Brookhurst St Ste 1D
Fountain Valley, CA 92708-6709
Phone
(949) 535-1845
Fax
(949) 535-1845
NPI assigned
Jan 8, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Connect Hearing, Inc. Hearing Instrument Specialist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 8263 CA Yes

Addresses

Primary practice location

18643 Brookhurst St Ste 1D
Fountain Valley, CA 92708-6709

Mailing address

215 Shuman Blvd Ste 401
Naperville, IL 60563-8123
Phone (630) 303-5380

Other providers in Fountain Valley, CA

All providers in Fountain Valley, CA · Hearing Instrument Specialist in California

Sources for this page

Verify at the official NPI Registry.