MEDICARE: JOHN MINA M.A., CCC-SLP

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	235Z00000X	Speech-Language Pathologist	SP 21071	CA

General Provider Information

NPI Number	:	1295146983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN MINA M.A., CCC-SLP

Provider Business Mailing Address
First Line	:	11635 AMIGO AVE
Second Line	:
City	:	PORTER RANCH
State	:	CA
Zip	:	91326-1803
Country	:	US
Telephone Number	:	310-350-0100
Fax Number	:

Provider Business Practice Location Address
First Line	:	11635 AMIGO AVE
Second Line	:
City	:	PORTER RANCH
State	:	CA
Zip	:	91326-1803
Country	:	US
Telephone Number	:	310-350-0100
Fax Number	:

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

Provider Enumeration Date	:	05/15/2014
Last Update Date	:	04/03/2026

Similar Medicare Providers

1346875549 — MS. JENNIFER ANNE MOENTMANN LMFT
Practice Location Address:

25019 RIVER WALK LN
STEVENSON RANCH, CA
91381-1803

Practice Phone: 661-254-0933
Practice Fax:

1780526327 — MINDFUL PLAY PSYCHOLOGICAL CORPORATION
Practice Location Address:

11145 TAMPA AVE STE 12B
PORTER RANCH, CA
91326-2215

Practice Phone: 818-336-1644
Practice Fax:

1770049736 — NATALIE MEG SUMIAN CCC-SLP
Practice Location Address:

20311 VIA GALILEO
PORTER RANCH, CA
91326-4070

Practice Phone: 818-455-3003
Practice Fax:

1356284814 — MASHA GRIGORIEVNA MARKOSYAN MSN-FNP
Practice Location Address:

11840 W TUDOR CT
PORTER RANCH, CA
91326-4985

Practice Phone: 818-641-8786
Practice Fax:

1891740494 — NATIONAL VISION, INC.
Practice Location Address:

19821 RINALDI ST
PORTER RANCH, CA
91326-4145

Practice Phone: 818-832-0784
Practice Fax:

1023065620 — RENATA SELAK STANKOVIC M.D.
Practice Location Address:

19950 RINALDI ST STE 300
PORTER RANCH, CA
91326-4141

Practice Phone: 818-271-2400
Practice Fax: 818-271-2401

Directions to “ JOHN MINA M.A., CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.