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NPI Code Detail

MEDICARE: REBECCA LEW MS CCC-SLP

MEDICARE:   REBECCA  LEW  MS 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 Pathologist15866CA

General Provider Information

NPI Number : 1790018216
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA LEW MS CCC-SLP
Provider Business Mailing Address
First Line : 1122 CRANBROOK AVE
Second Line :
City : TORRANCE
State : CA
Zip : 90503-5108
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2335 PLAZA DEL AMO
Second Line :
City : TORRANCE
State : CA
Zip : 90501-3420
Country : US
Telephone Number : 310-809-3095
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2009
Last Update Date : 05/19/2026

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Directions to “ REBECCA LEW MS CCC-SLP” Practice Location

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