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NPI Code Detail

MEDICARE: NICHOLAS HEARLE UTVICH

MEDICARE: NICHOLAS HEARLE UTVICH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist2302011969CA

General Provider Information

NPI Number : 1346178589
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS HEARLE UTVICH
Provider Business Mailing Address
First Line : 333 S BEAUDRY AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-1466
Country : US
Telephone Number : 213-241-6200
Fax Number :
Provider Business Practice Location Address
First Line : 333 S BEAUDRY AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-1466
Country : US
Telephone Number : 213-241-6200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2026
Last Update Date : 05/09/2026

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Directions to “ NICHOLAS HEARLE UTVICH ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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