Healthcare Provider Details

I. General information

NPI: 1427998236
Provider Name (Legal Business Name): SPOT PEDIATRIC OCCUPATIONAL AND SPEECH THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1605 XIMENO AVE APT 171
LONG BEACH CA
90804-2134
US

IV. Provider business mailing address

1605 XIMENO AVE APT 171
LONG BEACH CA
90804-2134
US

V. Phone/Fax

Practice location:
  • Phone: 310-243-6864
  • Fax:
Mailing address:
  • Phone: 310-243-6864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: REBECCA ARGENTINA KIM
Title or Position: CO-OWNER, BILINGUAL SLP
Credential: M.A., CCC-SLP
Phone: 310-961-7567