| NPI | 1487196176 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MASTANEH NASSI Owner 310-666-7413  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: CA 19111)  | 
| Enumeration Date | 2016-11-10 | 
| Last Update Date | 2016-11-10 |