Healthcare Provider Details

I. General information

NPI: 1275449191
Provider Name (Legal Business Name): KRISTI HILLIARD ESFANDIARY M.S.,CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KRISTI LYNN HILLIARD M.S.,CCC-SLP

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13350 TRACY ST
BALDWIN PARK CA
91706-4716
US

IV. Provider business mailing address

13350 TRACY ST
BALDWIN PARK CA
91706-4716
US

V. Phone/Fax

Practice location:
  • Phone: 626-962-9718
  • Fax: 626-856-4213
Mailing address:
  • Phone: 626-962-9718
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP15263
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: