Healthcare Provider Details

I. General information

NPI: 1720698517
Provider Name (Legal Business Name): ARLYN HILVEA COREAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2020
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5657 WILSHIRE BLVD STE 280
LOS ANGELES CA
90036-3755
US

IV. Provider business mailing address

5657 WILSHIRE BLVD STE 280
LOS ANGELES CA
90036-3755
US

V. Phone/Fax

Practice location:
  • Phone: 323-525-0247
  • Fax:
Mailing address:
  • Phone: 323-525-0247
  • Fax: 323-525-0334

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number41510
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: