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NPI Code Detail

MEDICARE: JENNIFER HOTTA MA

MEDICARE:   JENNIFER  HOTTA  MA
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 PathologistRPE 9950CA

General Provider Information

NPI Number : 1902275829
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER HOTTA MA
Provider Business Mailing Address
First Line : 6523 LAURELWOOD DR
Second Line :
City : INGLEWOOD
State : CA
Zip : 90302-1039
Country : US
Telephone Number : 310-800-8044
Fax Number :
Provider Business Practice Location Address
First Line : 292 S LA CIENEGA BLVD STE 250
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90211-3357
Country : US
Telephone Number : 310-954-9614
Fax Number : 310-526-6561
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2015
Last Update Date : 09/22/2015

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Directions to “ JENNIFER HOTTA MA” Practice Location

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