Judy Kwak

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

28106 Issued in CA

Practice address

3650 Los Feliz Blvd Apt 32
Los Angeles, CA 90027-2431

Phone

(917) 907-4833

NPI assigned

Feb 10, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nalee Speech Clinic Inc

  • Speech-Language Pathologist
  • Gardena, CA
  • NPI 1245055110
  NPD Authorized official
• Speakeasy Therapy Services, LLC

  • Speech-Language Pathologist
  • North Las Vegas, NV
  • NPI 1790516722
  NPD
• Play & Talk Bilingual Therapy Speech Therapy Inc.

  • Hearing and Speech Clinic/Center
  • Montrose, CA
  • NPI 1326587395
  NPD (past)

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

{
    "created_epoch": "1518220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1740789254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910210046",
            "telephone_number": "917-907-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 LOS FELIZ BLVD APT 32",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900272431",
            "telephone_number": "917-907-4833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1815 W 213th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905012852",
            "country_code": "US",
            "telephone_number": "310-328-0276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3965 W Cheyenne Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890328905",
            "country_code": "US",
            "telephone_number": "702-515-4009",
            "fax_number": "702-960-4169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWAK",
        "first_name": "JUDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-10",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-2962",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "28106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliann Kwak Lee, M.D.
• Angie Kwak
• Bum Won Kwak, PA
• Christina Kwak, DPT
• Jamie Kwak
• Kay Kwak
• Ke Sung Kwak, D.C.
• Kevin D Kwak, M.D.
• Kil Young Kwak, L.AC.
• Kyoung Whan Kwak, D.D.S.

• Speech-Language Pathologist in Los Angeles, CA
• Providers in Los Angeles, 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 May 3, 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.