Provider Demographics
NPI:1073409538
Name:SOCAL SPEECH CENTER LLC
Entity type:Organization
Organization Name:SOCAL SPEECH CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:N
Authorized Official - Last Name:KOBASHIGAWA
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:650-279-4607
Mailing Address - Street 1:903 ORCHID WAY
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95117-2333
Mailing Address - Country:US
Mailing Address - Phone:650-279-4607
Mailing Address - Fax:
Practice Address - Street 1:51 E CAMPBELL AVE STE 110B
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-2055
Practice Address - Country:US
Practice Address - Phone:650-279-4607
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech