Organization
PROGRESS SPEECH AND LANGUAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER JEONG (OWNER)
(714) 533-1230
Entity
Organization
Contact information
Practice address
304 W CERRITOS AVE, ANAHEIM, CA 92805-6550
(714) 533-1230
Mailing address
304 W CERRITOS AVE, ANAHEIM, CA 92805-6550
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
13871
CA
Other
Enumeration date
12/27/2016
Last updated
12/27/2016
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