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NPI Code Detail

MEDICARE: ARIELLE KHALILI CCC-SLP

MEDICARE: ARIELLE KHALILI 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 Pathologist29872CA

General Provider Information

NPI Number : 1619378296
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIELLE KHALILI CCC-SLP
Provider Business Mailing Address
First Line : 8334 E QUIET CANYON CT
Second Line :
City : ANAHEIM
State : CA
Zip : 92808-2605
Country : US
Telephone Number : 562-879-1319
Fax Number :
Provider Business Practice Location Address
First Line : 1010 N MAIN ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92701-3602
Country : US
Telephone Number : 714-560-0900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2014
Last Update Date : 02/19/2026

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Directions to “ ARIELLE KHALILI CCC-SLP” Practice Location

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