| Kellie Benson Tang, CCC-SLP | |
|
6670 Alton Pkwy, Irvine, CA 92618-3734 | |
| (833) 574-2273 | |
| Not Available |
| Full Name | Kellie Benson Tang |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 6670 Alton Pkwy, Irvine, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639635923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 15948 (California) | Secondary |
| 235Z00000X | Speech-language Pathologist | 33637 (California) | Primary |
| Provider Name | Southern California Permanente Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Kellie Benson Tang, CCC-SLP 24398 Kingston Ct, Laguna Hills, CA 92653-6253 Ph: (949) 510-8649 | Kellie Benson Tang, CCC-SLP 6670 Alton Pkwy, Irvine, CA 92618-3734 Ph: (833) 574-2273 |
Ms. Linda Charley Hill, M.A. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 18 Hillgrass, Irvine, CA 92603 Phone: 949-233-0219 | |
Adrienne Rzepnick, MA CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 18017 Sky Park Cir Ste G, Irvine, CA 92614 Phone: 949-929-5465 Fax: 949-737-1777 | |
Hilary Hayashi Spannagel, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1929 Main St Ste 103, Irvine, CA 92614 Phone: 949-229-5709 | |
Ms. Laura Adjunta, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13143 Spectrum, Irvine, CA 92618 Phone: 510-646-6304 | |
Janae Guevara, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 19712 Macarthur Blvd Ste 110, Irvine, CA 92612 Phone: 951-295-7219 | |
Mrs. Natalia M Guarino, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3301 Ansel, Irvine, CA 92618 Phone: 407-432-2866 | |
Leora Shaffer, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4010 Barranca Pkwy Ste 220, Irvine, CA 92604 Phone: 949-857-6051 |