Lesly Ocotitla

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

18581 Issued in CA

Practice address

250 S la Cienega Blvd # 250
Beverly Hills, CA 90211-3302

Phone

(310) 954-9614

NPI assigned

Feb 5, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1598528119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 SHATTO PL APT 351B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S LA CIENEGA BLVD # 250",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113302",
            "telephone_number": "310-954-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCOTITLA",
        "first_name": "LESLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "18581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dae San Oh, ACUPUNTURE

• Speech-Language Pathologist in Beverly Hills, CA
• Providers in Beverly Hills, 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 Feb 5, 2024; 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.