Healthcare Provider Details

I. General information

NPI: 1629690052
Provider Name (Legal Business Name): EXPATIATE COMMUNICATIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2020
Last Update Date: 05/07/2020
Certification Date: 05/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 N LAKE AVE STE 800
PASADENA CA
91101-1857
US

IV. Provider business mailing address

155 N LAKE AVE STE 800
PASADENA CA
91101-1857
US

V. Phone/Fax

Practice location:
  • Phone: 844-387-5836
  • Fax:
Mailing address:
  • Phone: 844-387-5836
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MANSI BHATIA
Title or Position: VP OF OPERATIONS
Credential:
Phone: 310-462-0128