MEDICARE: LARRY KLEIMAN & ASSOCIATES SPEECH PATHOLOGY CORP

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
1	235Z00000X	Speech-Language Pathologist	SP4176	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649350570
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LARRY KLEIMAN & ASSOCIATES SPEECH PATHOLOGY CORP

Provider Business Mailing Address
First Line	:	4132 KATELLA AVENUE
Second Line	:	SUITE 204
City	:	LOS ALAMTIOS
State	:	CA
Zip	:	90720-6601
Country	:	US
Telephone Number	:	562-598-9555
Fax Number	:	562-598-9898

Provider Business Practice Location Address
First Line	:	4132 KATELLA AVENUE
Second Line	:	SUITE 204
City	:	LOS ALAMTIOS
State	:	CA
Zip	:	90720-6601
Country	:	US
Telephone Number	:	562-598-9555
Fax Number	:	562-598-9898

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LARRY IRWIN KLEIMAN
Credential	:	MA CCC
Telephone Number	:	562-598-9555

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	08/22/2020

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Directions to “LARRY KLEIMAN & ASSOCIATES SPEECH PATHOLOGY CORP ” Practice Location

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