Individual
GABRIELA OMIDSALAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
466 FLAGSHIP RD, NEWPORT BEACH, CA 92663-3635
(949) 642-8044
Mailing address
410 S GOLDEN WEST AVE, ARCADIA, CA 91007-6211
(626) 807-8465
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
27465
CA
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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