| Leen Mudallal, CCC-SLP | |
|
24328 Vermont Ave # 318, Harbor City, CA 90710-2314 | |
| (424) 250-9615 | |
| Not Available |
| Full Name | Leen Mudallal |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 2 Years |
| Location | 24328 Vermont Ave # 318, Harbor City, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457141293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| New Life Physical Therapy Services Pc | 7214207125 | 94 |
| Provider Name | New Life Physical Therapy Services PC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1285160788 PECOS PAC ID: 7214207125 Enrollment ID: O20170726001800 |
| Mailing Address | Practice Location Address |
|---|---|
| Leen Mudallal, CCC-SLP 18153 Patronella Ave, Torrance, CA 90504-3900 Ph: (310) 819-0763 | Leen Mudallal, CCC-SLP 24328 Vermont Ave # 318, Harbor City, CA 90710-2314 Ph: (424) 250-9615 |
Vatissa Peng, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 24328 Vermont Ave, Harbor City, CA 90710 Phone: 424-250-9615 |
Mrs. Emilie Y Dill, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 850-313-1498 |
Vivian Tang Wong, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 24328 Vermont Ave Ste 318, Harbor City, CA 90710 Phone: 424-250-9615 |
Ms. Keina Saito, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 24328 Vermont Ave Ste 318, Harbor City, CA 90710 Phone: 424-250-9615 |
Melissa Ly, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 24328 Vermont Ave Ste 318, Harbor City, CA 90710 Phone: 424-250-9615 |
Miss Keisha La Juan Mccray, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-517-3922 |
Sarah Aukamp, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 24328 Vermont Ave Ste 318, Harbor City, CA 90710 Phone: 424-250-9615 |