Healthcare Provider Details

I. General information

NPI: 1265304653
Provider Name (Legal Business Name): RANIA SBAITA CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2025
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12062 VALLEY VIEW ST STE 137
GARDEN GROVE CA
92845-1741
US

IV. Provider business mailing address

21435 FIRWOOD
LAKE FOREST CA
92630-6483
US

V. Phone/Fax

Practice location:
  • Phone: 714-901-1518
  • Fax:
Mailing address:
  • Phone: 714-901-1518
  • Fax: 714-901-1359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP38862
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: