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NPI Code Detail

MEDICARE: TAYLOR ALISON CHIA CCC-SLP

MEDICARE: TAYLOR ALISON CHIA CCC-SLP
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 Pathologist60972333WA
2235Z00000XSpeech-Language Pathologist30784CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NGO356A223901OTHERCAANTHEM BLUE CROSS

General Provider Information

NPI Number : 1528610847
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR ALISON CHIA CCC-SLP
Provider Business Mailing Address
First Line : 501 CENTER ST APT 9
Second Line :
City : EL SEGUNDO
State : CA
Zip : 90245-3275
Country : US
Telephone Number : 310-740-2672
Fax Number :
Provider Business Practice Location Address
First Line : 11460 W WASHINGTON BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90066-6030
Country : US
Telephone Number : 310-337-7115
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2019
Last Update Date : 11/17/2021

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Directions to “ TAYLOR ALISON CHIA CCC-SLP” Practice Location

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