Healthcare Provider Details

I. General information

NPI: 1306190574
Provider Name (Legal Business Name): MRS. GOWRI ARAKERE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2012
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 KPC PKWY
CORONA CA
92879-7102
US

IV. Provider business mailing address

15477 HOOVER LN
FONTANA CA
92336-5376
US

V. Phone/Fax

Practice location:
  • Phone: 951-509-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number17114
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: