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NPI Code Detail

MEDICARE: MS. TIZITA WORKU SLP

MEDICARE: MS. TIZITA WORKU SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSPA3378CA

General Provider Information

NPI Number : 1134740749
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TIZITA WORKU SLP
Provider Business Mailing Address
First Line : 1737 E WOODGATE DR
Second Line :
City : WEST COVINA
State : CA
Zip : 91792-1949
Country : US
Telephone Number : 757-285-3569
Fax Number :
Provider Business Practice Location Address
First Line : 333 S BEAUDRY AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-1466
Country : US
Telephone Number : 213-241-6225
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2020
Last Update Date : 06/22/2026

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Directions to “ MS. TIZITA WORKU SLP” Practice Location

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