Organization
BRIGHT STAR SPEECH AND LANGUAGE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUISA ACOSTA (OWNER)
(949) 707-5962
Entity
Organization
Contact information
Practice address
26712 VIA ZARAGOSA, MISSION VIEJO, CA 92691-5025
(949) 707-5962
(949) 707-5962
Mailing address
26712 VIA ZARAGOSA, MISSION VIEJO, CA 92691-5025
(949) 707-5962
(949) 707-5962
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QH0700X
Hearing and Speech Clinic/Center
Primary
SP 10738
CA
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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