| |
7128 Pacific Blvd Ste I, Huntington Park, CA 90255-4776 | |
(323) 476-7071 | |
(323) 476-7081 |
Full Name | |
---|---|
Type | Facility |
Speciality | Speech-language Pathologist |
Location | 7128 Pacific Blvd Ste I, Huntington Park, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134750375 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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7128 Pacific Blvd Fl 2, Huntington Park, CA 90255-4776 Ph: (323) 476-7071 | 7128 Pacific Blvd Ste I, Huntington Park, CA 90255-4776 Ph: (323) 476-7071 |