MEDICARE: JEANINE URBANO

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
1	2355S0801X	Speech-Language Assistant	6956	CA

General Provider Information

NPI Number	:	1255972162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEANINE URBANO

Provider Business Mailing Address
First Line	:	292 E FOOTHILL BLVD STE A
Second Line	:
City	:	ARCADIA
State	:	CA
Zip	:	91006-2554
Country	:	US
Telephone Number	:	626-358-8488
Fax Number	:

Provider Business Practice Location Address
First Line	:	292 E FOOTHILL BLVD STE A
Second Line	:
City	:	ARCADIA
State	:	CA
Zip	:	91006-2554
Country	:	US
Telephone Number	:	626-358-8488
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2019
Last Update Date	:	03/03/2026

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Directions to “ JEANINE URBANO ” Practice Location

Language	Start Address	Practice Location

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