MEDICARE: MRS. REZINKA AYALA

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	SP15280	CA

General Provider Information

NPI Number	:	1386589299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. REZINKA AYALA

Provider Business Mailing Address
First Line	:	15058 BRIARHILL DR
Second Line	:
City	:	SYLMAR
State	:	CA
Zip	:	91342-5481
Country	:	US
Telephone Number	:	818-241-3111
Fax Number	:	818-548-9041

Provider Business Practice Location Address
First Line	:	1440 E BROADWAY
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91205-1598
Country	:	US
Telephone Number	:	818-242-3161
Fax Number	:

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

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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Directions to “ MRS. REZINKA AYALA ” Practice Location

Language	Start Address	Practice Location

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