Individual
ELISE OZAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4010 BARRANCA PKWY STE 220, IRVINE, CA 92604-1721
(949) 857-6051
Mailing address
2 ENTERPRISE # 5112, ALISO VIEJO, CA 92656-6028
(949) 939-8607
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP25497
CA
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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