| NPI | 1568889178 |
|---|---|
| Doing Business As | CHOC ST |
| Entity Type | Organization |
| Authorized Contact | MARK KELLY Director, Cs Business Services 714-509-7964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-03-20 |