Healthcare Provider Details

I. General information

NPI: 1710457973
Provider Name (Legal Business Name): SHERLLYN GUERIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2018
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2230 W CHAPMAN AVE STE 237
ORANGE CA
92868-2316
US

IV. Provider business mailing address

1290 HAMAL
IRVINE CA
92618-0862
US

V. Phone/Fax

Practice location:
  • Phone: 714-202-6857
  • Fax:
Mailing address:
  • Phone: 949-350-6236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number2570
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: