Healthcare Provider Details

I. General information

NPI: 1548173628
Provider Name (Legal Business Name): PATRICIA MCCAFFREY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13350 TRACY ST
BALDWIN PARK CA
91706-4716
US

IV. Provider business mailing address

1654 AVENIDA ENTRADA
SAN DIMAS CA
91773-4064
US

V. Phone/Fax

Practice location:
  • Phone: 626-962-9718
  • Fax:
Mailing address:
  • Phone: 909-575-7915
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP18872
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: