Healthcare Provider Details

I. General information

NPI: 1629994124
Provider Name (Legal Business Name): RITA VOGT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1490 N CLAREMONT BLVD STE 101
CLAREMONT CA
91711-3519
US

IV. Provider business mailing address

394 S PROSPECTORS RD UNIT 106
DIAMOND BAR CA
91765-1685
US

V. Phone/Fax

Practice location:
  • Phone: 909-626-0900
  • Fax:
Mailing address:
  • Phone: 909-631-4726
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: