Healthcare Provider Details

I. General information

NPI: 1700713179
Provider Name (Legal Business Name): ANGELA JOELLE M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANGELA JOELLE MALUTO VIRAY

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16700 NORWALK BLVD
CERRITOS CA
90703-1838
US

IV. Provider business mailing address

13511 BIOLA AVE
LA MIRADA CA
90638-2956
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number38486
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: