| NPI | 1558127787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LAKE Speech Language Pathologist 310-903-1034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-02-26 |