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NPI Code Detail

MEDICARE: KASANDRA MILAZZO

MEDICARE: KASANDRA MILAZZO
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 Pathologist

General Provider Information

NPI Number : 1578337994
Entity Type Code : Individual
Provider Name (Legal Business Name) : KASANDRA MILAZZO
Provider Business Mailing Address
First Line : 6370 MAGNOLIA AVE STE 210
Second Line :
City : RIVERSIDE
State : CA
Zip : 92506-2427
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6370 MAGNOLIA AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92506-2405
Country : US
Telephone Number : 951-587-6973
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2023
Last Update Date : 11/07/2023

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Directions to “ KASANDRA MILAZZO ” 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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