Active NPI
Jacqueline Coroy
- Speech-Language Assistant
- Los Angeles, CA
National Provider Identifier
1558188789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 7440
- Practice address
- 2107 Lincoln Park Ave Apt 14
Los Angeles, CA 90031-3164 - Phone
- (323) 365-0273
- NPI assigned
- Sep 19, 2024
- 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 | 7440 | CA | Primary |
Addresses
Primary practice location
2107 Lincoln Park Ave Apt 14
Los Angeles, CA 90031-3164
Mailing address
2107 Lincoln Park Ave Apt 14
Los Angeles, CA 90031-3164
Phone (323) 365-0273
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1558188789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2107 LINCOLN PARK AVE APT 14",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900313164",
"telephone_number": "323-365-0273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2107 LINCOLN PARK AVE APT 14",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900313164",
"telephone_number": "323-365-0273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COROY",
"first_name": "JACQUELINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-19",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CA",
"license": "7440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
- Alberto A Coronel, LCSW
- Christopher Tria Coronel, NP
- Kimberly Coronel, RDA
- Maria Elena Coronel
- Martin Soto Coronel
- Luis Corporan
- Corporate Communicology Solutions, Inc. (Provenance Speech and Language solutions)
- Corporate Spinal Wellness Systems (Beverly Spine and Wellness)
- Elizabeth Amanda Corpstein, LMFT
- Corpus Art Physical Therapy Professional Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.