MEDICARE: NATASHA KAYLA WILKINSON

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		CA

General Provider Information

NPI Number	:	1528996527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATASHA KAYLA WILKINSON

Provider Business Mailing Address
First Line	:	13650 PARK ST
Second Line	:
City	:	CERRITOS
State	:	CA
Zip	:	90703-1413
Country	:	US
Telephone Number	:	562-229-7700
Fax Number	:

Provider Business Practice Location Address
First Line	:	13650 PARK ST
Second Line	:
City	:	CERRITOS
State	:	CA
Zip	:	90703-1413
Country	:	US
Telephone Number	:	562-229-7700
Fax Number	:

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

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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Directions to “ NATASHA KAYLA WILKINSON ” Practice Location

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