| NPI | 1427401330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO PACHECO Co Owner 323-600-5510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: CA 19634) |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech (Licence: CA 22309) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-07-15 |