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HARBOR HEARING SERVICES, PROFESSIONAL CORPORATION
NPI 1568947430
Audiologist in San Pedro, CA

Active since September 26, 2018
1360 W 6TH ST STE 243, SAN PEDRO, CA 90732(424) 570-0117(424) 570-0499 Get Directions Write a Review

NPPES record last updated: September 26, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Harbor Hearing Services, Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HARBOR HEARING SERVICES, PROFESSIONAL CORPORATION (NPI 1568947430), doing business as Harbor Hearing, is a healthcare organization registered as an audiologist in San Pedro, California and active in the NPI registry since September 2018. The organization lists Ryan Bullock, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1568947430
Entity TypeOrganization
Primary Taxonomy231H00000X
Legal Business NameHARBOR HEARING SERVICES, PROFESSIONAL CORPORATION
Location Address1360 W 6TH ST STE 243San Pedro, CA 90732-3589
Mailing Address600 Monterey BlvdHermosa Beach, CA 90254-4582 · (479) 459-2261
Phone(424) 570-0117
Fax(424) 570-0499
Organization SubpartNo
Authorized OfficialRyan BullockPresident/ceo · (424) 570-0117
Enumeration DateSeptember 26, 2018
✔ NPI 1568947430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
1360 W 6TH ST STE 243, San Pedro, CA 90732
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Other Names 1

Doing Business AsHarbor Hearing

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Harbor Hearing Services, Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Harbor Hearing Services, Professional Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ryan Bullock, AUD
Qualified Audiologist
NPI 1184976409
1360 W 6TH ST STE 243
San Pedro, CA 90732
(424) 570-0117
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Harbor Hearing Services, Professional Corporation's NPI number?

The NPI number for Harbor Hearing Services, Professional Corporation is 1568947430. It was assigned to this organization in the NPPES registry on September 26, 2018. The provider is doing business as Harbor Hearing.

Where is Harbor Hearing Services, Professional Corporation located?

Harbor Hearing Services, Professional Corporation is located at 1360 W 6th St Ste 243, San Pedro, CA 90732. The listed phone number is (424) 570-0117.

What is Harbor Hearing Services, Professional Corporation's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Harbor Hearing Services, Professional Corporation enrolled in Medicare?

Yes. Harbor Hearing Services, Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Harbor Hearing Services, Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Qualified Audiologist) reassigns their Medicare billing to Harbor Hearing Services, Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Harbor Hearing Services, Professional Corporation was last updated on September 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.