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NPI Code Detail

MEDICARE: JOSELINE VANESA ESTRADA M.S. CCC-SLP

MEDICARE: JOSELINE VANESA ESTRADA M.S. 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
1235Z00000XSpeech-Language Pathologist16762CA

General Provider Information

NPI Number : 1407312457
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSELINE VANESA ESTRADA M.S. CCC-SLP
Provider Business Mailing Address
First Line : 1015 WILSHIRE BLVD STE 200
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-2415
Country : US
Telephone Number : 626-289-7472
Fax Number :
Provider Business Practice Location Address
First Line : 1015 WILSHIRE BLVD STE 200
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-2415
Country : US
Telephone Number : 626-289-7472
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2019
Last Update Date : 09/18/2023

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Directions to “ JOSELINE VANESA ESTRADA M.S. CCC-SLP” Practice Location

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