| Doctor Name: | CHRISTIANE BALTAXE |
| NPI Number: | 1316978497 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SP |
| License Number: | SP2605 |
| Business Practice Address: | 300 Medical Plz Los Angeles, CA - 900950001 |
| Business Phone Number: | 3108259989 |
| Business Fax Number: | |
| Mailing Address: | 5767 W Century Blvd, Suite 200 LOS ANGELES |
| State: | CA |
| Postal Code: | 900455632 |
| Phone Number: | 3103018708 |
| Fax Number: | 3103018751 |
| NPI Enumeration Date: | 07/06/2006 |
| NPI Last Update Date: | 09/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP2605 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |