Courdin Moheng, RPE-SLP, M.A.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

RPE 9575 Issued in CA

Practice address

12062 Valley View St
137
Garden Grove, CA 92845-1737

Phone

(714) 901-1518

Fax

(714) 901-1359

NPI assigned

Mar 11, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1154714434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12062 VALLEY VIEW ST",
            "address_2": "137",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928451737",
            "telephone_number": "714-901-1518",
            "fax_number": "714-901-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12062 VALLEY VIEW ST",
            "address_2": "137",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928451737",
            "telephone_number": "714-901-1518",
            "fax_number": "714-901-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHENG",
        "first_name": "COURDIN",
        "credential": "RPE-SLP, M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "RPE 9575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.