MEDICARE: COTORRO COMMUNICATION CENTER SPEECH THERAPY SERVICES, INC.

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

General Provider Information

NPI Number	:	1477209476
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COTORRO COMMUNICATION CENTER SPEECH THERAPY SERVICES, INC.

Provider Business Mailing Address
First Line	:	11331 183RD ST # 405
Second Line	:
City	:	CERRITOS
State	:	CA
Zip	:	90703-5434
Country	:	US
Telephone Number	:	424-832-4882
Fax Number	:

Provider Business Practice Location Address
First Line	:	3516 MARTIN LUTHER KING JR BLVD STE 4
Second Line	:
City	:	LYNWOOD
State	:	CA
Zip	:	90262-2066
Country	:	US
Telephone Number	:	562-614-4046
Fax Number	:

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST
Name	:	DR. STEPHANIE RIVERA CEPEDA
Credential	:	SLPD, CCC-SLP
Telephone Number	:	424-832-4882

Provider Enumeration Date	:	02/28/2022
Last Update Date	:	12/08/2025

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