Provider Demographics
NPI:1780808477
Name:LANDMARK HEARING SERVICES INC
Entity type:Organization
Organization Name:LANDMARK HEARING SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:WENDSCHLAG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-773-9933
Mailing Address - Street 1:877 W FREMONT AVE
Mailing Address - Street 2:SUITE I-4
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-2315
Mailing Address - Country:US
Mailing Address - Phone:408-773-9933
Mailing Address - Fax:408-773-0325
Practice Address - Street 1:877 W FREMONT AVE
Practice Address - Street 2:SUITE I4
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-2315
Practice Address - Country:US
Practice Address - Phone:408-773-9933
Practice Address - Fax:408-773-0325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU1103231H00000X
237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAU1103OtherSTATE LICENSE
CAZZZ13876ZMedicare PIN