NPIMap

Organization Active NPI

Smile Pediatric Therapy & Diagnostics

  • Hearing and Speech Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1538562863
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
22261 Issued in CA
Legal business name
SMILE PEDIATRIC THERAPY & DIAGNOSTICS
Practice address
5000 W Sunset Blvd
Suite 510
Los Angeles, CA 90027-5861
Phone
(323) 644-9380
Fax
(323) 644-9381
NPI assigned
Oct 1, 2014
Last updated
Oct 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Authorized official

Name
Mrs. Nicole Hajjar
Title
Ceo
Phone
(323) 644-9380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 22261 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": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1538562863",
    "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",
            "fax_number": "323-644-9381"
        },
        {
            "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",
            "fax_number": "323-644-9381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE PEDIATRIC THERAPY & DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "HAJJAR",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-644-9380",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "CA",
            "license": "22261",
            "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 Oct 1, 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.