| NPI | 1144510413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY PAYNE Owner 310-562-0187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: CA SP9299) |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2011-04-07 |