NPIMap

Organization Active NPI

Smile Pediatric Therapy & Diagnostics

  • Hearing and Speech Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1205252665
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
RPE 8845 Issued in CA
Legal business name
SMILE PEDIATRIC THERAPY & DIAGNOSTICS
Practice address
5000 W Sunset Blvd Ste 510
Los Angeles, CA 90027-5864
Phone
(323) 644-9380
NPI assigned
Mar 10, 2014
Last updated
Mar 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Authorized official

Name
Mrs. Nicole Hajjar, MS, CCC-SLP
Title
Director of Clinical Services
Phone
(323) 644-9380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X RPE 8845 CA Primary

Addresses

Primary practice location

5000 W Sunset Blvd Ste 510
Los Angeles, CA 90027-5864

Mailing address

5000 W Sunset Blvd Ste 510
Los Angeles, CA 90027-5864

National Provider Directory

National Provider Directory
Tax ID family
Smile Pediatric Therapy and Diagnostics8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1205252665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 W SUNSET BLVD STE 510",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W SUNSET BLVD STE 510",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275864",
            "telephone_number": "323-644-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE PEDIATRIC THERAPY & DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "HAJJAR",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "323-644-9380",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "CA",
            "license": "RPE 8845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.