Adrian Ayala

Individual provider Active NPI Speech-Language Assistant · Lynwood, CA

NPI 1154044113 · NPPES record last updated Sep 23, 2022

Key facts

NPI
1154044113
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Assistant 2355S0801X
Practice address
3636 E Imperial Hwy
Lynwood, CA 90262-2653
Phone
(818) 206-4547
NPI assigned
Sep 23, 2022
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant
Group: 193400000X SINGLE SPECIALTY GROUP
2355S0801X Yes

Addresses

Primary practice location

3636 E Imperial Hwy
Lynwood, CA 90262-2653

Mailing address

13079 Van Nuys Blvd
Pacoima, CA 91331-2575
Phone (818) 206-4547

Other providers in Lynwood, CA

All providers in Lynwood, CA · Speech-Language Assistant in California

Sources for this page

Verify at the official NPI Registry.