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Organization

BLOSSOM SPEECH & LANGUAGE PATHOLOGY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MIRIAM SHIMONI (PRESIDENT/CEO)
(818) 943-5116
Entity
Organization

Contact information

Practice address
1080 S LA CIENEGA BLVD STE 309, LOS ANGELES, CA 90035-2680
(818) 943-5116
(888) 435-8980
Mailing address
1080 S LA CIENEGA BLVD STE 309, LOS ANGELES, CA 90035-2680
(818) 943-5116
(888) 435-8980

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
01/30/2026
Last updated
01/30/2026
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