| Organization Name: | BRIGHT STAR |
| NPI Number: | 1366730657 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HARRY AYALA (EXECUTIVE DIRECTOR) |
| Mailing Address: | 17291 Irvine Blvd Suite 325 Tustin |
| State: | CA US |
| Postal Code: | 927802941 |
| Phone Number: | 7147307700 |
| Fax Number: | 7147307766 |
| NPI Enumeration Date: | 07/20/2011 |
| NPI Last Update Date: | 07/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP 10738 |
| 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 |