| NPI | 1629690052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANSI BHATIA VP Of Operations 310-462-0128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-05-07 |