Healthcare Provider Details

I. General information

NPI: 1588574677
Provider Name (Legal Business Name): YESSENIA BARRIENTOS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1936 HUNTINGTON DR STE D
SOUTH PASADENA CA
91030-4859
US

IV. Provider business mailing address

469 HOEFNER AVE
LOS ANGELES CA
90022-2709
US

V. Phone/Fax

Practice location:
  • Phone: 626-460-6320
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number9969
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: