Healthcare Provider Details

I. General information

NPI: 1598685075
Provider Name (Legal Business Name): JULIE ADAMS CORELL M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14121 CEDARWOOD ST
WESTMINSTER CA
92683-4437
US

IV. Provider business mailing address

1631 CALLE LAS BOLAS APT A
SAN CLEMENTE CA
92672-4824
US

V. Phone/Fax

Practice location:
  • Phone: 714-894-7311
  • Fax: 714-899-2781
Mailing address:
  • Phone: 888-800-1854
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number6252
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: