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NPI Code Detail

MEDICARE: PARTH WAYS SPEECH THERAPY PC

MEDICARE: PARTH WAYS SPEECH THERAPY PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant
2225100000XPhysical Therapist
3225200000XPhysical Therapy Assistant
4225X00000XOccupational Therapist
5235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1053040501
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARTH WAYS SPEECH THERAPY PC
Provider Business Mailing Address
First Line : 3330 RURAL CIR
Second Line :
City : CORONA
State : CA
Zip : 92882-8382
Country : US
Telephone Number : 951-215-6042
Fax Number :
Provider Business Practice Location Address
First Line : 4160 TEMESCAL CANYON RD STE 401
Second Line :
City : CORONA
State : CA
Zip : 92883-4626
Country : US
Telephone Number : 951-215-6042
Fax Number : 951-215-7002
Authorized Official
Title or Position : CEO
Name : CHIKKANAYAKANAHALLI S SIDDHARTHA
Credential : CCC - SLP
Telephone Number : 626-283-1490
Provider Enumeration Date : 06/09/2022
Last Update Date : 07/18/2025

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Directions to “PARTH WAYS SPEECH THERAPY PC ” Practice Location

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