Healthcare Provider Details

I. General information

NPI: 1912485434
Provider Name (Legal Business Name): STEPHANIE ABBOTT-DIGDIGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2018
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27720 JEFFERSON AVE
TEMECULA CA
92590-2638
US

IV. Provider business mailing address

27720 JEFFERSON AVE SUITE 110, 120 & 150
TEMECULA CA
92590-2638
US

V. Phone/Fax

Practice location:
  • Phone: 951-587-6973
  • Fax:
Mailing address:
  • Phone: 951-587-6973
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number31930
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: