Organization
SMILE PEDIATRIC THERAPY AND DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY HAJJAR (DIRECTOR OF BUSINESS OPERATIONS)
(323) 644-9380
Entity
Organization
Contact information
Practice address
5000 W SUNSET BLVD STE 510, LOS ANGELES, CA 90027-5864
(323) 644-9380
Mailing address
5000 W SUNSET BLVD STE 510, LOS ANGELES, CA 90027-5864
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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