Organization
SUPPLEMENTAL HEALTH CARE
Active
Organization
SUPPLEMENTAL HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VATTENE NADIA BAYNEY-FLEENER M.A., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(213) 706-5158
Entity
Organization
Contact information
Practice address
1 CIVIC PLAZA DR, SUITE 625, CARSON, CA 90745-2243
(310) 549-4500
Mailing address
5806 LEXINGTON AVE, LOS ANGELES, CA 90038-2013
(213) 706-5158
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
SP15837
CA
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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