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NPI Code Detail

MEDICARE: CAROUSEL CHILD CARE INC.

MEDICARE: CAROUSEL CHILD CARE 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
1224Z00000XOccupational Therapy Assistant89CA
2224Z00000XOccupational Therapy Assistant54CA
3225100000XPhysical Therapist26855CA
4225X00000XOccupational Therapist1019CA
5235Z00000XSpeech-Language Pathologist17966CA
6225X00000XOccupational Therapist2414CA

General Provider Information

NPI Number : 1467772582
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAROUSEL CHILD CARE INC.
Provider Business Mailing Address
First Line : 7899 LA TIJERA BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-3145
Country : US
Telephone Number : 310-645-9222
Fax Number : 310-645-4201
Provider Business Practice Location Address
First Line : 7899 LA TIJERA BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-3145
Country : US
Telephone Number : 310-645-9222
Fax Number : 310-645-4201
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MRS. MARIA DAVIS
Credential : MS SPECIAL EDUCATION
Telephone Number : 310-645-9222
Provider Enumeration Date : 06/11/2010
Last Update Date : 06/11/2010

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Directions to “CAROUSEL CHILD CARE INC. ” Practice Location

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