MEDICARE: ELLEN Y KIM SLPA

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	2355S0801X	Speech-Language Assistant	SPA7178	CA

General Provider Information

NPI Number	:	1780316943
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELLEN Y KIM SLPA

Provider Business Mailing Address
First Line	:	17216 SATICOY ST # 141
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91406-2103
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1527 E CESAR E CHAVEZ AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90033-2302
Country	:	US
Telephone Number	:	323-500-0191
Fax Number	:

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

Provider Enumeration Date	:	06/27/2022
Last Update Date	:	06/27/2022

Similar Medicare Providers

1518604008 — EMILY MARIE QUINONES
Practice Location Address:

1527 E CESAR E CHAVEZ AVE
LOS ANGELES, CA
90033-2302

Practice Phone: 323-500-0191
Practice Fax:

1902529969 — GABRIELA LARA
Practice Location Address:

1527 E CESAR E CHAVEZ AVE
LOS ANGELES, CA
90033-2302

Practice Phone: 323-500-0191
Practice Fax:

1588773964 — THRIFTY PAYLESS INC
Practice Location Address:

500 SOUTH BROADWAY
LOS ANGELES, CA
90013-2302

Practice Phone: 213-623-5820
Practice Fax:

1497939193 — LOS ANGELES COUNTY - WIDNEY MTU
Practice Location Address:

2302 S GRAMERCY PL
LOS ANGELES, CA
90018-1323

Practice Phone: 323-731-8442
Practice Fax: 323-733-2486

1457517906 — DR. GARY MANUKYAN D.D.S.
Practice Location Address:

2302 NELLA VISTA AVE
LOS ANGELES, CA
90027-1332

Practice Phone: 323-428-7799
Practice Fax:

1962654012 — MR. COLE DAVID WILLIAMS MSW CANDIDATE 2010
Practice Location Address:

3520 WILSHIRE BLVD FL 5
LOS ANGELES, CA
90010-2302

Practice Phone: 323-361-8867
Practice Fax:

Directions to “ ELLEN Y KIM SLPA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.