| Mrs Caroline J Pak, MS CCC-SLP | |
|
5601 De Soto Ave, Woodland Hills, CA 91367-6701 | |
| (818) 719-3990 | |
| Not Available |
| Full Name | Mrs Caroline J Pak |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 5601 De Soto Ave, Woodland Hills, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477675114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SP 13689 (California) | Primary |
| Provider Name | Southern California Permanente Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Caroline J Pak, MS CCC-SLP 21901 Burbank Blvd Unit 192, Woodland Hills, CA 91367-6432 Ph: (818) 577-8062 | Mrs Caroline J Pak, MS CCC-SLP 5601 De Soto Ave, Woodland Hills, CA 91367-6701 Ph: (818) 719-3990 |
Arielle Swisa, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 20520 Wells Dr, Woodland Hills, CA 91364 Phone: 818-593-9793 | |
Michelle Moskowitz, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6340 Variel Ave, Suite A, Woodland Hills, CA 91367 Phone: 818-888-4559 | |
Monumental Educational And Therapetic Services Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6300 Variel Ave Apt 414, Woodland Hills, CA 91367 Phone: 202-702-1882 | |
Kristen Alicia Dueck, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6320 Canoga Ave Fl 15, Woodland Hills, CA 91367 Phone: 877-757-8353 | |
Mrs. Lisa Sanders Harwin, M.A. SPL DISORDERS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 23241 Ventura Blvd Ste 207, Woodland Hills, CA 91364 Phone: 818-224-2025 Fax: 818-224-4306 | |
Ruth Kriegel, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 19730 Ventura Blvd Ste 103b, Woodland Hills, CA 91364 Phone: 818-884-5103 | |
Dr. Alisa Y Prewitt, SLPD-CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 21241 Ventura Blvd Ste 295, Woodland Hills, CA 91364 Phone: 323-924-9464 Fax: 281-392-8239 |