Organization Active NPI

Mind Body Voice and Speech

  • Speech-Language Pathologist
  • Los Angeles, CA
National Provider Identifier
1679112940
Registry record updated Feb 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MIND BODY VOICE AND SPEECH
Practice address
205 N Serrano Ave
Los Angeles, CA 90004-4207
Phone
(323) 283-9750
NPI assigned
Jan 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2022

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

Authorized official

Name
Liana Guo
Title
Co-Owner
Phone
(323) 283-9570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

205 N Serrano Ave
Los Angeles, CA 90004-4207

Mailing address

205 N Serrano Ave
Los Angeles, CA 90004-4207

Other practice location 1

205 N Serrano Ave
Los Angeles, CA 90004-4207
Phone (323) 783-9570

National Provider Directory

National Provider Directory

Locations

9171 Wilshire Blvd
Ste 600
Beverly Hills, CA 90210
Phone (310) 739-1167

NPI Registry JSON

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644019200000",
    "number": "1679112940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N SERRANO AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900044207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N SERRANO AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900044207",
            "telephone_number": "323-283-9750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 N Serrano Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900044207",
            "country_code": "US",
            "telephone_number": "323-783-9570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIND BODY VOICE AND SPEECH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-03",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A",
        "authorized_official_last_name": "GUO",
        "authorized_official_first_name": "LIANA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "323-283-9570"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "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 Feb 5, 2022; 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.