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NPI Code Detail

MEDICARE: CHRISTINA FERNANDEZ M.A., CCC-SLP

MEDICARE: CHRISTINA FERNANDEZ 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
1235Z00000XSpeech-Language Pathologist26615CA

General Provider Information

NPI Number : 1508485780
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA FERNANDEZ M.A., CCC-SLP
Provider Business Mailing Address
First Line : 5057 ASTOR AVE
Second Line :
City : COMMERCE
State : CA
Zip : 90040-1301
Country : US
Telephone Number : 619-370-4622
Fax Number :
Provider Business Practice Location Address
First Line : 123 S MONTEBELLO BLVD
Second Line :
City : MONTEBELLO
State : CA
Zip : 90640-4729
Country : US
Telephone Number : 323-887-7900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2020
Last Update Date : 04/08/2020

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Directions to “ CHRISTINA FERNANDEZ 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.

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