Healthcare Provider Details

I. General information

NPI: 1689599060
Provider Name (Legal Business Name): CRISTINA KAZZI
Entity Type: Individual
Gender:
Sole Proprietor: N

Provider Other Name: CRISTINA MONTERO

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 CROCUS ST
REDLANDS CA
92373-4219
US

IV. Provider business mailing address

75 CROCUS ST
REDLANDS CA
92373-4219
US

V. Phone/Fax

Practice location:
  • Phone: 714-453-8037
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number19203
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: