Judith Diana Aguilera

Individual provider Active NPI Speech-Language Pathologist · Diamond Bar, CA

NPI 1548029549 · NPPES record last updated Mar 13, 2024

Key facts

NPI
1548029549
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
5465 (CA)
Practice address
23945 Palomino Dr
Diamond Bar, CA 91765-1720
Phone
(626) 347-4799
NPI assigned
Mar 13, 2024
Sex
Female
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 Pathologist 235Z00000X 5465 CA Yes

Addresses

Primary practice location

23945 Palomino Dr
Diamond Bar, CA 91765-1720

Mailing address

23945 Palomino Dr
Diamond Bar, CA 91765
Phone (626) 347-4799

Other providers in Diamond Bar, CA

All providers in Diamond Bar, CA · Speech-Language Pathologist in California

Sources for this page

Verify at the official NPI Registry.