Maxima Therapy and Speech Clinic, Inc.

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

SP 13829 Issued in CA

Legal business name

MAXIMA THERAPY AND SPEECH CLINIC, INC.

Practice address

5217 Etiwanda Ave
Tarzana, CA 91356-4335

Phone

(509) 430-1111

Fax

(818) 704-7898

NPI assigned

Aug 2, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Anton Zubatov, B.S.

Title

Ceo

Phone

(509) 430-1111

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1801100839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 LAUREL CANYON BLVD",
            "address_2": "SUITE 456",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916043709",
            "telephone_number": "818-287-8875",
            "fax_number": "818-704-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5217 ETIWANDA AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564335",
            "telephone_number": "509-430-1111",
            "fax_number": "818-704-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMA THERAPY AND SPEECH CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-02",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "ZUBATOV",
        "authorized_official_first_name": "ANTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-430-1111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "CA",
            "license": "SP 13829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECA",
            "identifier": "1942364526",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lawrence A May, M.D.
• Marie Mayen-Cho
• Jewel M Mazor, BA, MA
• Archana Farouque Mazra, NP
• Regina Edith McAuley, M.A.

• Hearing and Speech Clinic/Center in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Hearing and Speech Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.