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Organization
MAXIMA THERAPY AND SPEECH CLINIC, INC.
Active
Organization
MAXIMA THERAPY AND SPEECH CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTON ZUBATOV B.S. (CEO)
(509) 430-1111
Entity
Organization
Contact information
Practice address
5217 ETIWANDA AVE, TARZANA, CA 91356-4335
(509) 430-1111
(818) 704-7898
Mailing address
3940 LAUREL CANYON BLVD, SUITE 456, STUDIO CITY, CA 91604-3709
(818) 287-8875
(818) 704-7898
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
SP 13829
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942364526
ECA
CA
Enumeration date
08/02/2010
Last updated
03/15/2011
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