Organization Active NPI

LV Speech Therapy Group, Inc.

  • Speech-Language Pathologist
  • Long Beach, CA
National Provider Identifier
1801241583
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
18817 Issued in CA
Legal business name
LV SPEECH THERAPY GROUP, INC.
Practice address
3620 Long Beach Blvd Ste A1
Long Beach, CA 90807-6014
Phone
(310) 930-7491
NPI assigned
Apr 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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

Authorized official

Name
Damon Pappo
Title
Owner
Phone
(562) 595-0912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 18817 CA Primary

Addresses

Primary practice location

3620 Long Beach Blvd Ste A1
Long Beach, CA 90807-6014

Mailing address

3620 Long Beach Blvd Ste A1
Long Beach, CA 90807-6014
Phone (310) 930-7491

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1801241583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 LONG BEACH BLVD STE A1",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908076014",
            "telephone_number": "310-930-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 LONG BEACH BLVD STE A1",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908076014",
            "telephone_number": "310-930-7491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LV SPEECH THERAPY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "PAPPO",
        "authorized_official_first_name": "DAMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-595-0912"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "18817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.