Organization
BASLD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLINA GARCIA M.A., CCC-SLP (PRESIDENT)
(619) 600-4392
Entity
Organization
Contact information
Practice address
713 BROADWAY, STE. E, CHULA VISTA, CA 91910-5313
(619) 600-4392
(619) 240-3780
Mailing address
713 BROADWAY, STE. E, CHULA VISTA, CA 91910-5313
(619) 600-4392
(619) 240-3780
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
SP14252
CA
Other
Enumeration date
09/05/2012
Last updated
01/28/2015
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