- Speech-Language Pathologist in Ranch Santa Margarita, CA

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is a Speech-language Pathologist based in Ranch Santa Margarita, California. is licensed to practice in California (license number 16089) and their current practice location is 29977 Avenida De Las Banderas, Ranch Santa Margarita, California. It can be reached at their office (for appointments etc.) via phone at (949) 600-5437.

NPI number for is 1023309390 and their current mailing address is 22431 Antonio Pkwy, Suite B160-493, Rancho Santa Margarita, California. does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1023309390.

Contact Information

29977 Avenida De Las Banderas,
Ranch Santa Margarita, CA 92688-2133
(949) 600-5437
(949) 600-5439

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialitySpeech-language Pathologist
Location29977 Avenida De Las Banderas, Ranch Santa Margarita, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023309390
  • Provider Enumeration Date: 04/21/2011
  • Last Update Date: 06/13/2018

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023309390NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251P0200XPhysical Therapist - Pediatrics 25455 (California)Secondary
225XF0002XOccupational Therapist - Feeding, Eating & Swallowing OT706 (California)Secondary
225XF0002XOccupational Therapist - Feeding, Eating & Swallowing OT-706 (California)Secondary
225XP0200XOccupational Therapist - Pediatrics OT706 (California)Secondary
225XP0200XOccupational Therapist - Pediatrics OT-706 (California)Secondary
235Z00000XSpeech-language Pathologist 13109 (California)Secondary
235Z00000XSpeech-language Pathologist 16089 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

22431 Antonio Pkwy, Suite B160-493,
Rancho Santa Margarita, CA 92688-2133

Ph: (949) 600-5437
29977 Avenida De Las Banderas,
Ranch Santa Margarita, CA 92688-2133

Ph: (949) 600-5437

Reviews and Comments


Speech-Language Pathologist in Ranch Santa Margarita, CA


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