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NPI Code Detail

MEDICARE: LILIANA ELENA PORRAS

MEDICARE: LILIANA ELENA PORRAS
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 Pathologist36697CA

General Provider Information

NPI Number : 1619831120
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILIANA ELENA PORRAS
Provider Business Mailing Address
First Line : 1802 CRESTMONT CT
Second Line :
City : GLENDALE
State : CA
Zip : 91208-2620
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1802 CRESTMONT CT
Second Line :
City : GLENDALE
State : CA
Zip : 91208-2620
Country : US
Telephone Number : 323-253-5951
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2025
Last Update Date : 12/10/2025

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Directions to “ LILIANA ELENA PORRAS ” 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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