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661 W 1st St, Suite E, Tustin, CA 92780-2939 | |
| (714) 838-2853 | |
| (714) 838-4533 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 661 W 1st St, Tustin, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568529212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NR0400X | Chiropractor - Rehabilitation | OT7446 (California) | Primary |
| 235Z00000X | Speech-language Pathologist | SP5043 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
661 W 1st St, Suite E, Tustin, CA 92780-2939 Ph: (714) 838-2853 | 661 W 1st St, Suite E, Tustin, CA 92780-2939 Ph: (714) 838-2853 |
Mrs. Joanne D. Ortega, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 661 W 1st St Ste E, Tustin, CA 92780 Phone: 714-838-2853 Fax: 714-838-4533 | |
Robin Carter, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 661 W 1st St Ste E, Tustin, CA 92780 Phone: 714-838-2853 Fax: 714-838-4533 | |
Kevyne Marie Dantes, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3002 Dow Ave Ste 114, Tustin, CA 92780 Phone: 714-731-4668 | |
Lacey Lynn Vasquez, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 661 W 1st St, Suite E., Tustin, CA 92780 Phone: 714-838-2853 Fax: 714-838-4533 | |
Catherine Bogues, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 661 West 1st Street, Suite E, Tustin, CA 92780 Phone: 714-838-2853 | |
Mrs. Evelyn Divinagracia, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3002 Dow Ave, 114, Tustin, CA 92780 Phone: 714-731-4668 | |
Grace Lam, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14851 Yorba St, Tustin, CA 92780 Phone: 714-573-5382 |