NPI Code Details Logo

NPI 1346108404

NPI 1346108404 : SPEECH PLAY LOVE LOS ANGELES : LAWNDALE, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1346108404
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    SPEECH PLAY LOVE LOS ANGELES 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/15/2026
-----------------------------------------------------
    Last Update Date     |    01/15/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    15223 KORNBLUM AVE 
-----------------------------------------------------
    City                 |    LAWNDALE
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    90260-2442
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    310-961-7567
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    15223 KORNBLUM AVE 
-----------------------------------------------------
    City                 |    LAWNDALE
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    90260-2442
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    310-961-7567
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     REBECCA ARGENTINA KIM 
-----------------------------------------------------
    Credential           |    M.A., CCC-SLP
-----------------------------------------------------
    Telephone            |    310-961-7567
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    235Z00000X
-----------------------------------------------------
    Taxonomy Name        |    Speech-Language Pathologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.