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Organization

PROGRESS SPEECH AND LANGUAGE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YOUNGHEE PARK (OWNER/ SPEECH LANGUAGE PATHOLOGIST)
(714) 776-1231
Entity
Organization

Contact information

Practice address
217 W CERRITOS AVE, ANAHEIM, CA 92805-6549
(714) 776-1231
Mailing address
217 W CERRITOS AVE, ANAHEIM, CA 92805-6549

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40634
CA

Other

Enumeration date
02/07/2014
Last updated
02/07/2014
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