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NPI Code Detail

MEDICARE: CORPORATE COMMUNICOLOGY SOLUTIONS, INC.

MEDICARE: CORPORATE COMMUNICOLOGY SOLUTIONS, INC.
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 Pathologist12871CA

General Provider Information

NPI Number : 1477881274
Entity Type Code : Organization
Provider Name (Legal Business Name) : CORPORATE COMMUNICOLOGY SOLUTIONS, INC.
Provider Business Mailing Address
First Line : 13428 MAXELLA AVE
Second Line : STE. 130
City : MARINA DEL REY
State : CA
Zip : 90292-5620
Country : US
Telephone Number : 310-566-7479
Fax Number : 310-566-7487
Provider Business Practice Location Address
First Line : 13101 W WASHINGTON BLVD
Second Line : STE. 130
City : LOS ANGELES
State : CA
Zip : 90066-5131
Country : US
Telephone Number : 310-566-7479
Fax Number : 310-566-7487
Authorized Official
Title or Position : PRESIDENT
Name : MS. DOROTHY M POLITE
Credential : MA, CCC-SLP
Telephone Number : 310-566-7479
Provider Enumeration Date : 12/07/2009
Last Update Date : 07/20/2010

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Directions to “CORPORATE COMMUNICOLOGY SOLUTIONS, INC. ” Practice Location

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