| NPI | 1528194685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARMILA QUENIMHERR Member 310-838-1552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106E00000X Assistant Behavior Analyst | |
| 2080P0006X Pediatrics Developmental - Behavioral Pediatrics | |
| 2081N0008X Physical Medicine & Rehabilitation Neuromuscular Medicine | |
| 225100000X Physical Therapist | |
| 2251P0200X Physical Therapist Pediatrics | |
| 225800000X Recreation Therapist | |
| 225X00000X Occupational Therapist | |
| 225XP0200X Occupational Therapist Pediatrics | |
| 235Z00000X Speech-Language Pathologist (Licence: CA 16803) | |
| 235Z00000X Speech-Language Pathologist (Licence: CA 19172) | |
| 261QM1300X Clinic/Center Multi-Specialty (Licence: CA 16803) | |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2022-09-23 |