MEDICARE: JULIA HOBBS SPEECH PATHOLOGY, INC.

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	2588	CA

General Provider Information

NPI Number	:	1942284989
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JULIA HOBBS SPEECH PATHOLOGY, INC.

Provider Business Mailing Address
First Line	:	11835 W OLYMPIC BLVD
Second Line	:	#300
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-5001
Country	:	US
Telephone Number	:	310-996-8900
Fax Number	:	310-996-8909

Provider Business Practice Location Address
First Line	:	11835 W OLYMPIC BLVD
Second Line	:	#300
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-5001
Country	:	US
Telephone Number	:	310-996-8900
Fax Number	:	310-996-8909

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR/SLP
Name	:	JULIA A HOBBS
Credential	:	M.A., C.C.C.
Telephone Number	:	310-996-8900

Provider Enumeration Date	:	12/02/2005
Last Update Date	:	08/22/2020

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