Healthcare Provider Details

I. General information

NPI: 1588437198
Provider Name (Legal Business Name): ANGELIKA ARIZMENDI-MARKES SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2023
Last Update Date: 11/06/2023
Certification Date: 11/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

943 N GRAND AVE
COVINA CA
91724-2046
US

IV. Provider business mailing address

12411 SLAUSON AVE UNIT 6
WHITTIER CA
90606-2835
US

V. Phone/Fax

Practice location:
  • Phone: 626-671-6100
  • Fax:
Mailing address:
  • Phone: 562-693-5469
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSPA8174
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: