Individual
BEENA PETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1916 N SERRANO AVE, LOS ANGELES, CA 90027-1622
(323) 371-8700
Mailing address
1916 N SERRANO AVE, LOS ANGELES, CA 90027-1622
(323) 371-8700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13763
CA
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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