Most Relevant Information
Provider Data
| NPI Number: | 1003539982 |
| Provider Name: | TARYN KIANI MICHIKO PARK |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 30042 |
Most Important Dates
| Enumeration Date: | 09/26/2022 |
| Last Updated: | 09/26/2022 |
Provider Practice Location
1680 E 120TH ST
LOS ANGELES
CA
900593026
Practice Location Phone/Fax
| Phone: | 4243388000 |
| Fax: |
Provider Mailing Location
19408 WEISER AVE
CARSON
CA
907462646
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |