| NPI | 1932829934 |
|---|---|
| Doing Business As | COLLAB PEDIATRIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | JUSTIN WU Co Owner 626-739-8775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 261QH0700X Clinic/Center Hearing and Speech |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2024-01-14 |