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Gage Fortney-Henriquez
NPI 1396361069 · on the registry since 2020
Practice
- Address
- 3031 Beverly Blvd
Los Angeles, CA 90057 - Phone
- (323) 644-9380
- Organisation at this address
- Smile Pediatric Speech Therapy & Diagnostics Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 203
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California