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NPI Code Detail

MEDICARE: LOS ANGELES SPEECH AND LANGUAGE THERAPY CENTER INC

MEDICARE: LOS ANGELES SPEECH AND LANGUAGE THERAPY CENTER INC
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 PathologistSP3380CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1GSP000290OTHERCAMEDI-CAL

General Provider Information

NPI Number : 1386975233
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOS ANGELES SPEECH AND LANGUAGE THERAPY CENTER INC
Provider Business Mailing Address
First Line : 5761 BUCKINGHAM PKWY
Second Line :
City : CULVER CITY
State : CA
Zip : 90230-6515
Country : US
Telephone Number : 310-649-6199
Fax Number : 310-649-5597
Provider Business Practice Location Address
First Line : 5761 BUCKINGHAM PKWY
Second Line :
City : CULVER CITY
State : CA
Zip : 90230-6515
Country : US
Telephone Number : 310-649-6199
Fax Number : 310-649-5597
Authorized Official
Title or Position : OWNER-PRESIDENT/SLP
Name : DR. PAMELA SUE WILEY
Credential : PH.D., CCC-SLP
Telephone Number : 310-649-6199
Provider Enumeration Date : 01/15/2010
Last Update Date : 09/29/2010

Similar Medicare Providers

1356664643 — DR. PAMELA SUE WILEY PH.D., CCC-SLP
Practice Location Address:
5761 BUCKINGHAM PKWY
CULVER CITY, CA
90230-6515
Practice Phone: 310-649-6199
Practice Fax: 310-649-5597
1720331572 — IRINA LOMASHEVSKAYA
Practice Location Address:
5761 BUCKINGHAM PKWY
CULVER CITY, CA
90230-6515
Practice Phone: 310-649-6199
Practice Fax:
1003169855 — BELINDA WILLIAMS
Practice Location Address:
5761 BUCKINGHAM PKWY
CULVER CITY, CA
90230-6515
Practice Phone: 310-649-6199
Practice Fax:
1396098141 — ROXANA FARAHANI
Practice Location Address:
5761 BUCKINGHAM PKWY
CULVER CITY, CA
90230-6515
Practice Phone: 310-649-6199
Practice Fax:
1215280060 — PAOLA CALLE M.A.
Practice Location Address:
5761 BUCKINGHAM PKWY
CULVER CITY, CA
90230-6515
Practice Phone: 310-649-6199
Practice Fax:
1093050346 — DIANE BERNSTEIN M.A., CCC-SLP
Practice Location Address:
5761 BUCKINGHAM PKWY
CULVER CITY, CA
90230-6515
Practice Phone: 310-649-6199
Practice Fax:

Directions to “LOS ANGELES SPEECH AND LANGUAGE THERAPY CENTER INC ” Practice Location

Language Start Address Practice Location
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