Active NPI
Maria Laurice Edrosa, SLPA
- Speech-Language Assistant
- Whittier, CA
National Provider Identifier
1336700574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 5129
- Practice address
- 12411 Slauson Ave
Whittier, CA 90606-2835 - Phone
- (562) 693-5449
- NPI assigned
- Jun 27, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 5129 | CA | Primary |
Addresses
Primary practice location
12411 Slauson Ave
Whittier, CA 90606-2835
Mailing address
560 Cameron Crest Dr
Diamond Bar, CA 91765-2120
Phone (909) 345-4524
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5129 | CA | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DG Therapy | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Whittier, CA
- NPI 1548535727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561593600000",
"number": "1336700574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 CAMERON CREST DR",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917652120",
"telephone_number": "909-345-4524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12411 SLAUSON AVE",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906062835",
"telephone_number": "562-693-5449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDROSA",
"first_name": "MARIA",
"middle_name": "LAURICE",
"credential": "SLPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-27",
"last_updated": "2019-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CA",
"license": "5129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whittier, CA
- Catherine Echon, RD
- Poria Edalat
- Saman Edalat, D.D.S
- Eddie C. Wang, O.D., Professional Optometric Corporation (AcuVision Family Optometry)
- Rachel Lea Cortes Ednalino
- Eduardo a Tovar, M.D. a Medical Corp
- Edward Christopher Kolpin DO Inc
- Edward H Lee DO Inc
- Edward Reece MD a Professional Corporation
- Samin Eftekhari, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.