Active NPI
Mind Body Voice and Speech
- Speech-Language Pathologist
- Los Angeles, CA
National Provider Identifier
1679112940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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 DirectoryLocations
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.