Provider Demographics
NPI:1215609698
Name:UMA KADEKODI SPEECH-LANGUAGE THERAPY
Entity type:Organization
Organization Name:UMA KADEKODI SPEECH-LANGUAGE THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:UMA
Authorized Official - Middle Name:NARAYAN
Authorized Official - Last Name:KADEKODI
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC SLP
Authorized Official - Phone:310-740-1251
Mailing Address - Street 1:20545 VACCARO AVE
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-2237
Mailing Address - Country:US
Mailing Address - Phone:310-740-1251
Mailing Address - Fax:
Practice Address - Street 1:3424 W CARSON ST STE 210
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-5736
Practice Address - Country:US
Practice Address - Phone:310-740-1251
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-04
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech