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NPI Code Detail

MEDICARE: BRANDI LOGAN-OCHOA

MEDICARE: BRANDI LOGAN-OCHOA
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
1235Z00000XSpeech-Language Pathologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1131-634-8410OTHERSPEECH THERAPIST

General Provider Information

NPI Number : 1316348410
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDI LOGAN-OCHOA
Provider Business Mailing Address
First Line : 3841 SHEFFIELD AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90032-2426
Country : US
Telephone Number : 323-395-1647
Fax Number :
Provider Business Practice Location Address
First Line : 4350 E RAY RD STE 101A
Second Line :
City : PHOENIX
State : AZ
Zip : 85044-4707
Country : US
Telephone Number : 323-395-1647
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2014
Last Update Date : 08/25/2021

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Directions to “ BRANDI LOGAN-OCHOA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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