Organization Active NPI

Language and Speech Therapy

  • Early Intervention Provider Agency
  • Garden Grove, CA
National Provider Identifier
1841588084
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
SP12385 Issued in CA
Legal business name
LANGUAGE AND SPEECH THERAPY
Practice address
12966 Euclid St, Suite 550
Garden Grove, CA 92840-9217
Phone
(714) 539-6207
Fax
(714) 539-6209
NPI assigned
Jul 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Authorized official

Name
Mrs. Julie Chau Diep, MS, CCC-SLPNPI 1609995497
Title
Clinical Director
Phone
(714) 539-6207

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X SP12385 CA Primary
Point of Service 305S00000X SP12385 CA

Addresses

Primary practice location

12966 Euclid St, Suite 550
Garden Grove, CA 92840-9217

Mailing address

12966 Euclid St Ste 550
Garden Grove, CA 92840-9217
Phone (714) 539-6207

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311120000000",
    "number": "1841588084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12966 EUCLID ST STE 550",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928409217",
            "telephone_number": "714-539-6207",
            "fax_number": "714-539-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12966 EUCLID ST, SUITE 550",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928409217",
            "telephone_number": "714-539-6207",
            "fax_number": "714-539-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANGUAGE AND SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2011-07-20",
        "status": "A",
        "authorized_official_last_name": "DIEP",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "CHAU",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "714-539-6207",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": "SP12385",
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "SP12385",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.