Healthcare Provider Details

I. General information

NPI: 1194613976
Provider Name (Legal Business Name): SHU HUAN BEATRICE TJOA ESTREMERA MS, MA, MA
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2025
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2555 E COLORADO BLVD STE 100
PASADENA CA
91107-6617
US

IV. Provider business mailing address

2555 E COLORADO BLVD STE 100
PASADENA CA
91107-6617
US

V. Phone/Fax

Practice location:
  • Phone: 626-564-2700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number20531
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: