Consuelo Rivera Aguilar
Individual provider Active NPI Speech-Language Pathologist · Pomona, CA
NPI 1962891291 · NPPES record last updated Jan 9, 2015
Key facts
- NPI
- 1962891291
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 6053 (CA)
- Practice address
- 651 North Main Street
Pomona, CA 91768 - Phone
- (909) 623-2481
- NPI assigned
- Jan 9, 2015
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6053 | CA | Yes |
Addresses
Primary practice location
651 North Main Street
Pomona, CA 91768
Mailing address
1340 S Candish Ave
Glendora, CA 91740-5800
Other providers in Pomona, CA
- Myah Janelle Aguayo
- Blaine Aguiar
- Elizabeth Aguilar-Godinez
- Adriana Aguilar
- Andrew Aguilar
- Jacklyn Aguilar
- Jaime Aguilar
- Lindsay Aguilar I
- Nubia Reyna Aguilar
- Yesenia L Aguilar
All providers in Pomona, CA · Speech-Language Pathologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.