Healthcare Provider Details

I. General information

NPI: 1962330662
Provider Name (Legal Business Name): VICTORIA ELIZABETH ELIAS M.S.,CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6885 ORANGETHORPE AVE
BUENA PARK CA
90620-1348
US

IV. Provider business mailing address

6983 COTTONWOOD LN
BUENA PARK CA
90621-1174
US

V. Phone/Fax

Practice location:
  • Phone: 714-615-4529
  • Fax:
Mailing address:
  • Phone: 714-615-4529
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number39759
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: