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Organization
SMILE PEDIATRIC THERAPY & DIAGNOSTICS
Active
Organization
SMILE PEDIATRIC THERAPY & DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE HAJJAR (DIRECTOR OF CLINICAL SERVICES)
(323) 644-9380
Entity
Organization
Contact information
Practice address
5000 W SUNSET BLVD STE 510, LOS ANGELES, CA 90027-5864
(323) 644-9380
Mailing address
5000 W SUNSET BLVD STE 510, LOS ANGELES, CA 90027-5864
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
RPE8845
CA
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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