Healthcare Provider Details

I. General information

NPI: 1265361000
Provider Name (Legal Business Name): LORETTA PECHY M.A.-CCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11501 BOS ST
CERRITOS CA
90703-6742
US

IV. Provider business mailing address

3119 SAN ANSELINE AVE
LONG BEACH CA
90808-3733
US

V. Phone/Fax

Practice location:
  • Phone: 562-229-7830
  • Fax:
Mailing address:
  • Phone: 562-926-5566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP13488
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: