MEDICARE: MRS. REBECCA ORRANTE M.S., C.C.C

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	11354	CA

General Provider Information

NPI Number	:	1598961906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. REBECCA ORRANTE M.S., C.C.C

Provider Business Mailing Address
First Line	:	1370 W 2ND ST
Second Line	:
City	:	SAN PEDRO
State	:	CA
Zip	:	90732-3210
Country	:	US
Telephone Number	:	310-519-9151
Fax Number	:	310-265-9014

Provider Business Practice Location Address
First Line	:	609 DEEP VALLEY DR
Second Line	:	SUITE 200
City	:	ROLLING HILLS ESTATES
State	:	CA
Zip	:	90274-3629
Country	:	US
Telephone Number	:	310-265-9015
Fax Number	:	310-265-9014

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

Provider Enumeration Date	:	06/22/2007
Last Update Date	:	07/08/2007

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Directions to “ MRS. REBECCA ORRANTE M.S., C.C.C” Practice Location

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