Organization
THRIVE AND SHINE: SPEECH-LANGUAGE PATHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEDA REZAPOOR (OWNER/SPEECH-LANGUAGE PATHOLOGIST)
(310) 866-9958
Entity
Organization
Contact information
Practice address
8230 BEVERLY BLVD, #30, LOS ANGELES, CA 90048-4528
(310) 866-9958
Mailing address
8230 BEVERLY BLVD, #30, LOS ANGELES, CA 90048-4528
(310) 866-9958
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
20444
CA
252Y00000X
Early Intervention Provider Agency
Primary
20444
CA
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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