Organization Name: | FIVE OAKS SPEECH THERAPY SERVICES |
NPI Number: | 1770948283 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RENE ROBLES (PRESIDENT AND CHIEF EXECUTIVE OFFIC) |
Mailing Address: | 22365 Barton Rd Suite 104 Grand Terrace |
State: | CA US |
Postal Code: | 923135015 |
Phone Number: | 9098242899 |
Fax Number: | 8442730091 |
NPI Enumeration Date: | 12/28/2015 |
NPI Last Update Date: | 06/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0700X |
License Number: | 10442 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Hearing and Speech |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |