Organization
JOHN TRACY CLINIC
Active
Other names
John Tracy Center
Organization subpart
No
Provider details
NPI number
Authorized official
CATHLEEN MARY MATHES M.S.ED, LSLS (PRESIDENT & CEO)
(213) 748-5481
Entity
Organization
Contact information
Practice address
2160 W. ADAMS BLVD, LOS ANGELES, CA 90018-2039
(213) 748-5481
(213) 749-1651
Mailing address
2160 W. ADAMS BLVD, LOS ANGELES, CA 90018-2039
(213) 748-5481
(213) 749-1651
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
191801651
CA
Other
Enumeration date
01/13/2011
Last updated
09/25/2019
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