MEDICARE: BRENDA DENISE ANGUIANO

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	SP35323	CA

General Provider Information

NPI Number	:	1568330918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDA DENISE ANGUIANO

Provider Business Mailing Address
First Line	:	255 E RINCON ST STE 321
Second Line	:
City	:	CORONA
State	:	CA
Zip	:	92879-1368
Country	:	US
Telephone Number	:	951-258-0547
Fax Number	:

Provider Business Practice Location Address
First Line	:	255 E RINCON ST STE 321
Second Line	:
City	:	CORONA
State	:	CA
Zip	:	92879-1368
Country	:	US
Telephone Number	:	951-258-0547
Fax Number	:

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

Provider Enumeration Date	:	10/27/2025
Last Update Date	:	10/27/2025

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Directions to “ BRENDA DENISE ANGUIANO ” Practice Location

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