Provider Demographics
NPI:1083714893
Name:SOUND SOLUTIONS HEARING & BALANCE CENTERS, INC.
Entity Type:Organization
Organization Name:SOUND SOLUTIONS HEARING & BALANCE CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MIKAL
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CALDWELL-MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, F-AAA
Authorized Official - Phone:714-523-4327
Mailing Address - Street 1:7851 WALKER ST
Mailing Address - Street 2:SUITE #206
Mailing Address - City:LA PALMA
Mailing Address - State:CA
Mailing Address - Zip Code:90623-1747
Mailing Address - Country:US
Mailing Address - Phone:714-523-4327
Mailing Address - Fax:714-523-4313
Practice Address - Street 1:7851 WALKER ST
Practice Address - Street 2:SUITE #206
Practice Address - City:LA PALMA
Practice Address - State:CA
Practice Address - Zip Code:90623-1747
Practice Address - Country:US
Practice Address - Phone:714-523-4327
Practice Address - Fax:714-523-4313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU2241237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAU2241Medicare ID - Type UnspecifiedAUDIOLOGIST'S PERSONAL #