Organization
CENTER FOR PEDIATRIC THERAPY LLC
Active
Other names
Heritage Speech and Language Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN NGUYEN (CEO)
(949) 771-5881
Entity
Organization
Contact information
Practice address
1524 BROOKHOLLOW DR STE A-100, SANTA ANA, CA 92705-5426
(949) 771-5881
Mailing address
1524 BROOKHOLLOW DR STE A-100, SANTA ANA, CA 92705-5426
(949) 771-5881
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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