Baltazar, Danielle
Baltazar, Danielle is an individual health care provider with primary practice located at 405 Culver Blvd #112, Playa Del Rey CA 90293-7767. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Baltazar, Danielle can be contacted via phone (310) 403-4015.Contact Information
Primary practice address
405 Culver Blvd #112
Playa Del Rey CA 90293-7767
Phone: (310) 403-4015
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 14421 | California |
Profile Details
| NPI number | 1508849571 |
|---|---|
| LBN Legal business name | Baltazar, Danielle |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508849571 | NPPES |
| California | Other | PW5203 | MEDI-CAL |
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