Kenwood Hearing Center

LBN: William Diles, Inc.
Kenwood Hearing Center is an health care organization with primary practice located at 55 Mission Cir. #105 , Santa Rosa CA 95409. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as the primary health care specialty. William Diles, Inc. can be contacted via phone (707) 538-1000, or through Diles, Christine Gentry via phone (707) 538-1000.

Contact Information

Primary practice address
55 Mission Cir. #105 Santa Rosa CA 95409
Phone: (707) 538-1000
Fax: (707) 538-1013
Website:
Map and Directions
Authorized official contact:
Name: Diles, Christine Gentry AU.D.
Phone: (707) 538-1000

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AU973 California

Profile Details

NPI number 1477598050
LBN Legal business name William Diles, Inc.
DBA Doing business as Kenwood Hearing Center
Authorized official Diles, Christine Gentry AU.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2006
Last updated Mar 29th, 2024 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477598050 NPPES
California MEDICAID HAD000150

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