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

Nina Dallal

Individual provider Speech-Language Pathologist · NPI 1710525571

Nina Dallal is a Qualified Speech Language Pathologist in Los Angeles, California. Qualified in 2018, 8 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2019
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Practice location Address checks out

1659 Wellesley Ave
Los Angeles, CA 90025-3631
Phone: (310) 775-7664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9655 Sepulveda Blvd, North Hills, CA 91343-3307 — (818) 892-8665

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 28444 (CA)

Record details

NPI number1710525571
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 11, 2019
Last updated in NPPESDecember 8, 2021
Certification dateDecember 11, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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