Odyssey Speech Therapy, Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

ODYSSEY SPEECH THERAPY, INC

Practice address

25370 Park Ave
Loma Linda, CA 92354-2323

Phone

(909) 734-5373

NPI assigned

Mar 4, 2020

Organization subpart

No

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

Authorized official

Name

Lily He, SLPNPI 1871856393

Title

Speech Language Pathologist/Ceo

Phone

(909) 734-5373

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lily He

  • Speech-Language Pathologist
  • Loma Linda, CA
  • NPI 1871856393
  NPD Authorized official

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1366077083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25370 PARK AVE",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542323",
            "telephone_number": "909-734-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25370 PARK AVE",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542323",
            "telephone_number": "909-734-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY SPEECH THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "HE",
        "authorized_official_first_name": "LILY",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/CEO",
        "authorized_official_telephone_number": "909-734-5373",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Rolfe Oberholster, MD
• Elinor Obien
• Josephine Obregon
• Rio Gutierrez Ocampo, FNP
• Marco A Ochoa, PHARMD
• Grace Chan Oei, M.D.
• Hanny Oey, CPNP-AC
• Judith Haejin Oh Leonor, DO
• Albert Eunsuk Oh, DDS
• Ashley Oh

• Speech-Language Pathologist in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.