Provider Demographics
NPI:1053065334
Name:SOUNDSCAPE AUDIOLOGY LLC
Entity Type:Organization
Organization Name:SOUNDSCAPE AUDIOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANISH
Authorized Official - Middle Name:VIPIN
Authorized Official - Last Name:THAKKAR
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:704-787-1109
Mailing Address - Street 1:813 ALPINE ST APT 203
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90012-6406
Mailing Address - Country:US
Mailing Address - Phone:704-787-1109
Mailing Address - Fax:
Practice Address - Street 1:433 N 4TH ST STE 205B
Practice Address - Street 2:
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-4306
Practice Address - Country:US
Practice Address - Phone:704-787-1109
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-07
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No332S00000XSuppliersHearing Aid Equipment