Providence Speech and Hearing Center

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

License

1240 Issued in CA

Legal business name

PROVIDENCE SPEECH AND HEARING CENTER

Practice address

1301 Providence Ave.
Orange, CA 92868

Phone

(714) 639-4990

NPI assigned

Aug 29, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Chelsea Lee Johansen

Title

Director of HR

Phone

(714) 639-4990

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1184973752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PROVIDENCE AVE.",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "714-639-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PROVIDENCE AVE.",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "714-639-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE SPEECH AND HEARING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "JOHANSEN",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR OF HR",
        "authorized_official_telephone_number": "714-639-4990",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "CA",
            "license": "1240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernest Proud Jr., PH.D.
• Providence - Cardiology
• Providence Medical Foundation
• Providence Specialty Surgery Center LLC
• Providence Speech & Hearing Center
• Providence Speech and Hearing Center
• Providence Speech and Hearing Center
• Alma Prudencio
• Erin Allison Pruitt
• Kurtis Dee Pruitt, MD

• Rehabilitation Hospital Unit in Orange, CA
• Providers in Orange, CA by specialty
• Rehabilitation Hospital Unit in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.