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Organization
PENGUINSMART INC.
Active
Organization
PENGUINSMART INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW KWOK (VP OF OPERATIONS)
(650) 691-5723
Entity
Organization
Contact information
Practice address
2121 CORONET BLVD, BELMONT, CA 94002-1663
(650) 691-5723
Mailing address
2121 CORONET BLVD, BELMONT, CA 94002-1663
(650) 691-5723
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
222Q00000X
Developmental Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QA3000X
Augmentative Communication Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
Other
Enumeration date
01/09/2019
Last updated
04/11/2024
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