NPI 1164797825
Smile Pediatric Therapy and Diagnostics
Practice location
- Address
- 5000 W Sunset Blvd STE 510, Los Angeles, CA 90027-5864
- Phone
- (323) 644-9380
Authorised official
- Name
- Tony Hajjar
- Title
- Director of Business Operations
- Phone
- (323) 644-9380
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1164797825
- Entity type
- Organization
- NPI issued
- 14 Mar 2012
- Record last updated
- 14 Mar 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.