BASLD
Organization (NPI-2)
Active
Clinic/Center, Hearing and Speech
Provider Information
- NPI Number
1740539881- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 713 BROADWAY STE. E, CHULA VISTA, CA, 919105313
- Phone
- (619) 600-4392
- Fax
- (619) 240-3780
Specialties & Taxonomies
Clinic/Center, Hearing and Speech
Primary License: CA #sp14252