Healthcare Provider Details

I. General information

NPI: 1164096897
Provider Name (Legal Business Name): CELINE MARIE MONNINGER SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2021
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date: 06/26/2024
Reactivation Date: 08/26/2026

III. Provider practice location address

550 HAMILTON DR
CORONA CA
92879-5851
US

IV. Provider business mailing address

9 KPC PKWY
CORONA CA
92879-7102
US

V. Phone/Fax

Practice location:
  • Phone: 951-358-8165
  • Fax:
Mailing address:
  • Phone: 951-906-6307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: