Individual
INDIA BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
5657 WILSHIRE BLVD STE 280, LOS ANGELES, CA 90036-3755
(323) 525-0247
Mailing address
136 S VIRGIL AVE APT 206, LOS ANGELES, CA 90004-6097
(443) 370-6435
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
24399
CA
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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