Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blossom Speech & Language Pathology Inc

Organization Speech-Language Pathologist · NPI 1639029523

Blossom Speech & Language Pathology Inc is a Speech-Language Pathologist in Los Angeles, California. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1080 S La Cienega Blvd Ste 309
Los Angeles, CA 90035-2680
Phone: (818) 943-5116
Fax: (888) 435-8980
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1639029523
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Miriam Shimoni — President/Ceo · (818) 943-5116
NPI enumeratedJanuary 30, 2026
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026
Mailing address1080 S La Cienega Blvd Ste 309, Los Angeles, CA 90035-2680

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