| |
15901 Hawthorne Blvd #140, Lawndale, CA 90260 | |
(424) 257-1533 | |
(310) 370-2339 |
Full Name | |
---|---|
Type | Facility |
Speciality | Speech-language Pathologist |
Location | 15901 Hawthorne Blvd #140, Lawndale, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558740274 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
261QH0700X | Clinic/center - Hearing And Speech | SP 18425 (California) | Secondary |
Mailing Address | Practice Location Address |
---|---|
15901 Hawthorne Blvd #140, Lawndale, CA 90260 Ph: (424) 257-1533 | 15901 Hawthorne Blvd #140, Lawndale, CA 90260 Ph: (424) 257-1533 |
Ms. Julie Krisitie Carrillo, M.A. CCC-SLP. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15901 Hawthorne Blvd. #140., Lawndale, CA 90260 Phone: 424-257-1533 Fax: 310-370-2339 |