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Organization

SMILE PEDIATRIC THERAPY AND DIAGNOSTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MADELEINE JAY HAAS M.S., OTR/L (OCCUPATIONAL THERAPIST)
(562) 652-1593
Entity
Organization

Contact information

Practice address
5000 W SUNSET BLVD, LOS ANGELES, CA 90027-5861
(323) 644-9380
Mailing address
11854 BEVERLY DR, WHITTIER, CA 90601-2737
(562) 652-1593

Taxonomy

Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
14597
CA

Other

Enumeration date
09/26/2014
Last updated
09/26/2014
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