Organization
SAGE COMMUNICATION CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAGE AIMEE MERVIS CCC-SLP (OWNER)
(818) 645-2682
Entity
Organization
Contact information
Practice address
528 ARIZONA AVE STE 317, SANTA MONICA, CA 90401-1440
(424) 330-0130
Mailing address
1114 12TH ST APT 301, SANTA MONICA, CA 90403-5419
(818) 645-2682
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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