Healthcare Provider Details

I. General information

NPI: 1275456469
Provider Name (Legal Business Name): ALMA ABONCE VARGAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3521 LOMITA BLVD STE 201
TORRANCE CA
90505-5040
US

IV. Provider business mailing address

12582 WASHINGTON PL APT 9
LOS ANGELES CA
90066-4845
US

V. Phone/Fax

Practice location:
  • Phone: 310-856-8528
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number22115
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: