Healthcare Provider Details

I. General information

NPI: 1821757436
Provider Name (Legal Business Name): STEFANIE CUAHUIZO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2021
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9662 MAUREEN DR APT 2
GARDEN GROVE CA
92841-1221
US

IV. Provider business mailing address

9662 MAUREEN DR APT 2
GARDEN GROVE CA
92841-1221
US

V. Phone/Fax

Practice location:
  • Phone: 714-202-6857
  • Fax:
Mailing address:
  • Phone: 760-641-2667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: