MEDICARE: LITTLEST PLAYMATES

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	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1417546375
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LITTLEST PLAYMATES

Provider Business Mailing Address
First Line	:	325 N LARCHMONT BLVD # 182
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90004-3011
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	515 S FLOWER ST FL 18
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90071-2201
Country	:	US
Telephone Number	:	562-786-1899
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	TRIANDIE WOLD
Credential	:
Telephone Number	:	562-786-1899

Provider Enumeration Date	:	01/14/2021
Last Update Date	:	01/28/2021

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Directions to “LITTLEST PLAYMATES ” Practice Location

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