Healthcare Provider Details

I. General information

NPI: 1841101706
Provider Name (Legal Business Name): EMMA ARMENDARIZ-GOMAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16255 VENTURA BLVD STE 1015
ENCINO CA
91436-2318
US

IV. Provider business mailing address

42893 MONTELLO DR
LAKE HUGHES CA
93532-1401
US

V. Phone/Fax

Practice location:
  • Phone: 818-646-0429
  • Fax:
Mailing address:
  • Phone: 661-430-1275
  • 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: