MEDICARE: ARIANNA ISIDORO

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	9286	CA

General Provider Information

NPI Number	:	1336943638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIANNA ISIDORO

Provider Business Mailing Address
First Line	:	535 W 88TH PL
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90044-5709
Country	:	US
Telephone Number	:	323-795-3336
Fax Number	:

Provider Business Practice Location Address
First Line	:	6060 W MANCHESTER AVE STE 203
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-4266
Country	:	US
Telephone Number	:	310-776-5259
Fax Number	:

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

Provider Enumeration Date	:	04/03/2025
Last Update Date	:	04/03/2025

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Directions to “ ARIANNA ISIDORO ” Practice Location

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