| NPI | 1518613397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN JOSEPH MILLER VP 310-754-0329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2025-01-02 |