IndividualActive
Adam Dishkin
NPI 1619173002 · Speech-Language Pathologist · San Pedro, CA
Provider details
- NPI number
- 1619173002
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 7918 (CA)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
1538 Stonewood Ct
San Pedro, CA 90732-1545
Phone: (310) 831-4798
Approximate (ZIP-level) locationGet directions
Mailing address
1538 Stonewood Ct
San Pedro, CA 90732-1545
Registry dates
- Enumerated
- 2007-06-22
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.