# BLUE DOVE REHABILITATION, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437309077
- **Authorized official:** MRS. LAUREN F. KAWASAKI-KNIGHT M.A., CCC-SLP (PRESIDENT/DIRECTOR)
- **Authorized official phone:** (310) 412-2126

## Contact information

- **Practice address:** 323 N PRAIRIE AVE STE 401, INGLEWOOD, CA 90301-4506
- **Practice address phone:** (310) 412-2126
- **Practice address fax:** (310) 412-2077
- **Mailing address:** P.O. BOX 34925, LOS ANGELES, CA 90034
- **Mailing address phone:** (310) 412-2126
- **Mailing address fax:** (310) 412-2077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | SP13846 | CA | Yes |
| 252Y00000X | Early Intervention Provider Agency | SP13846 | CA | — |

## Other

- **Enumeration date:** 09/19/2008
- **Last updated:** 09/11/2019