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NPI Code Detail

MEDICARE: TIANA LOREN CORTADA BA, MS

MEDICARE:   TIANA LOREN CORTADA  BA, MS
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 Pathologist19977CA

General Provider Information

NPI Number : 1801680459
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIANA LOREN CORTADA BA, MS
Provider Business Mailing Address
First Line : 1345 5TH ST APT C
Second Line :
City : GLENDALE
State : CA
Zip : 91201-4878
Country : US
Telephone Number : 818-823-7808
Fax Number :
Provider Business Practice Location Address
First Line : 315 ARDEN AVE
Second Line :
City : GLENDALE
State : CA
Zip : 91203-1119
Country : US
Telephone Number : 818-434-5120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2025
Last Update Date : 04/08/2025

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Directions to “ TIANA LOREN CORTADA BA, MS” Practice Location

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