Organization
BRIGHT BEGINNINGS FOR KIDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA M SHIROMA (PRESIDENT)
(310) 316-2190
Entity
Organization
Contact information
Practice address
11965 VENICE BLVD, SUITE 408, LOS ANGELES, CA 90066-3979
(310) 316-2190
(310) 316-2713
Mailing address
11965 VENICE BLVD, SUITE 408, LOS ANGELES, CA 90066-3979
(310) 316-2190
(310) 316-2713
Taxonomy
Speciality
Code
Description
License number
State
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
1719
CA
225XP0200X
Pediatric Occupational Therapist
Primary
1719
CA
Other
Enumeration date
11/19/2013
Last updated
11/20/2013
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