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BRIGHT STAR NPI 1366730657


NPI Information

NPI: 1366730657
Provider Name: BRIGHT STAR
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
17291 IRVINE BLVD
SUITE 325
TUSTIN, CA
ZIP 92780
Phone: (714) 730-7700
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BRIGHT STAR is a speech language pathologist in Tustin, CA. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. BRIGHT STAR NPI is 1366730657. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17291 IRVINE BLVD
SUITE 325
TUSTIN, CA
ZIP 92780-941
Phone: (714) 730-7700
Fax: (714) 730-7766

The provider's authorized official is Harry Ayala .
The authorized official title is Executive Director and has the following contact phone number (714) 730-7700.

The enumeration date for this NPI number is 7/20/2011 and was last updated on 7/2/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language PathologistSP 10738CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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