Provider Demographics
NPI:1427401330
Name:VOX SPEECH THERAPY SERVICES LLC
Entity type:Organization
Organization Name:VOX SPEECH THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FERNANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:PACHECO
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:323-600-5510
Mailing Address - Street 1:5907 MONTEREY RD
Mailing Address - Street 2:307
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90042-4960
Mailing Address - Country:US
Mailing Address - Phone:323-600-5510
Mailing Address - Fax:
Practice Address - Street 1:5907 MONTEREY RD
Practice Address - Street 2:307
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90042-4960
Practice Address - Country:US
Practice Address - Phone:323-600-5510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-15
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22309261QH0700X
CA19634261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech