Kidspeak Pediatric Speech and Language Services, Inc.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

SP9723 Issued in CA

Legal business name

KIDSPEAK PEDIATRIC SPEECH AND LANGUAGE SERVICES, INC.

Practice address

1447 Dalmatia Dr
San Pedro, CA 90732-1349

Phone

(310) 930-2345

NPI assigned

Jan 13, 2009

Last updated

Jan 13, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lorre Lyn Acosta, M.A. CCC-SLPNPI 1386799351

Title

Owner

Phone

(310) 930-2345

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lorre Lyn Acosta, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Redondo Beach, CA
  • NPI 1386799351
  Authorized official Same address or phone

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1740427715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 DALMATIA DR",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907321349",
            "telephone_number": "310-930-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 DALMATIA DR",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907321349",
            "telephone_number": "310-930-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSPEAK PEDIATRIC SPEECH AND LANGUAGE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "LORRE",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-930-2345",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": "SP9723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew R Keough
• Michael Kerckhoff
• Hamid Cohen Kheradyar, DDS
• Belinda Kim Khou
• Basimah Khulusi, MD
• Cailine Y Kim
• Grace Kim
• Woo Joon Kim, L.AC.
• Candice L Kimbell-Awoleye
• Kimberly R Walton MD Inc

• Early Intervention Provider Agency in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Early Intervention Provider Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.