Healthcare Provider Details

I. General information

NPI: 1386159937
Provider Name (Legal Business Name): DIANA P MONTOYA TORRES SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/05/2017
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16320 ROSCOE BLVD
VAN NUYS CA
91406-1250
US

IV. Provider business mailing address

7812 EDINGER AVE STE 400
HUNTINGTON BEACH CA
92647-3727
US

V. Phone/Fax

Practice location:
  • Phone: 818-894-2273
  • Fax: 818-357-2505
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number35807
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: