NPI Code Detail JSON Logo

1619781598 NPI number — DYSPHAGIA SOLUTIONS LA SPEECH PATHOLOGY INC

NPI Number: 1619781598
Health Care Provider/Practitioner: DYSPHAGIA SOLUTIONS LA SPEECH PATHOLOGY INC

Information about “1619781598” NPI (DYSPHAGIA SOLUTIONS LA SPEECH PATHOLOGY INC) exists in 1619781598 in HTML format HTML  |  1619781598 in plain Text format TXT  |  1619781598 in PDF (Portable Document Format) PDF  |  1619781598 in an XML format XML  formats.

NPI Number : 1619781598 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619781598",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "DYSPHAGIA SOLUTIONS LA SPEECH PATHOLOGY INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "324 S BEVERLY DR # 1126",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BEVERLY HILLS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90212-4822",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "818-456-8439",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1135 CARDIFF AVENUE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90035",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "818-456-8439",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/03/2025",
    "LastUpdateDate": "02/03/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GROSSMAN",
    "AuthorizedOfficialFirstName": "SASHA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER, SLP, ENDOSCOPIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.S., CCC-SLP",
    "AuthorizedOfficialTelephoneNumber": "323-910-2506",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QH0700X",
          "TaxonomyName": "Hearing and Speech Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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