Doctor Name: | MS. IDA MONARCH |
NPI Number: | 1275747586 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 3146 |
Business Practice Address: | 23271 Verdugo Dr #b Laguna Hills, CA - 926531347 |
Business Phone Number: | 9497075555 |
Business Fax Number: | |
Mailing Address: | 2554 Elden Ave, Unit D-103 COSTA MESA |
State: | CA |
Postal Code: | 926275127 |
Phone Number: | 9496453179 |
Fax Number: | |
NPI Enumeration Date: | 05/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3146 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |