NPIMap

Organization Active NPI

Smile Pediatric Therapy and Diagnostics

  • Early Intervention Provider Agency
  • Los Angeles, CA
National Provider Identifier
1396038642
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
18892 Issued in CA
Legal business name
SMILE PEDIATRIC THERAPY AND DIAGNOSTICS
Practice address
5000 W Sunset Blvd
Suite 510
Los Angeles, CA 90027-5861
Phone
(323) 644-9380
NPI assigned
May 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Authorized official

Name
Mrs. Danielle Nicole Hajjar, MS CCC SLP
Title
Speech Pathologist
Phone
(323) 644-9380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 18892 CA Primary

Addresses

Primary practice location

5000 W Sunset Blvd
Suite 510
Los Angeles, CA 90027-5861

Mailing address

5000 W Sunset Blvd
Suite 510
Los Angeles, CA 90027-5861
Phone (323) 644-9380

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": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1396038642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 W SUNSET BLVD",
            "address_2": "SUITE 510",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275861",
            "telephone_number": "323-644-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W SUNSET BLVD",
            "address_2": "SUITE 510",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275861",
            "telephone_number": "323-644-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE PEDIATRIC THERAPY AND DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "HAJJAR",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "323-644-9380",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS CCC SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": "18892",
            "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 May 19, 2011; 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.