MEDICARE: NAOMI G. FINKELSTEIN

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	SP 4187	CA

General Provider Information

NPI Number	:	1164568820
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NAOMI G. FINKELSTEIN

Provider Business Mailing Address
First Line	:	PO BOX 480948
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-9548
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7300 HOLLYWOOD BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90046-2904
Country	:	US
Telephone Number	:	800-208-7797
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. NAOMI GAMZU FINKELSTEIN
Credential	:	M.A.
Telephone Number	:	800-208-7797

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	08/22/2020

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