Healthcare Provider Details

I. General information

NPI: 1598671661
Provider Name (Legal Business Name): ARIANNE CAMILLE CROSBY
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14429 CONDON AVE
LAWNDALE CA
90260-1308
US

IV. Provider business mailing address

4161 W 147TH ST
LAWNDALE CA
90260-1709
US

V. Phone/Fax

Practice location:
  • Phone: 310-676-6140
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number41477
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: