MEDICARE: KIM SINGER

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	235Z00000X	Speech-Language Pathologist	01121764	CA

General Provider Information

NPI Number	:	1770356248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIM SINGER

Provider Business Mailing Address
First Line	:	1901 AVENUE OF THE STARS # 269
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90067-6001
Country	:	US
Telephone Number	:	310-430-5684
Fax Number	:

Provider Business Practice Location Address
First Line	:	1901 AVENUE OF THE STARS
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90067-6001
Country	:	US
Telephone Number	:	310-430-5684
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2023
Last Update Date	:	11/06/2023

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Directions to “ KIM SINGER ” Practice Location

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