Organization
ADVANCED SLP CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HYE WON LEE (CEO)
(310) 398-2082
Entity
Organization
Contact information
Practice address
4023 WASATCH AVE, LOS ANGELES, CA 90066-4818
(310) 398-2082
Mailing address
4023 WASATCH AVE, LOS ANGELES, CA 90066-4818
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
0002515112-0001-9
CA
Other
Enumeration date
02/12/2017
Last updated
02/12/2017
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