| Lyda Kongswangwongsa, | |
|
547 W Maple Ave, Orange, CA 92868-2209 | |
| (909) 636-8125 | |
| Not Available |
| Full Name | Lyda Kongswangwongsa |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 13 Years |
| Location | 547 W Maple Ave, Orange, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891183422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 21847 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Instrumental Speech Language Pathology Professionals Inc | 4385065903 | 3 |
| Provider Name | Instrumental Speech Language Pathology Professionals Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396372686 PECOS PAC ID: 4385065903 Enrollment ID: O20200605001133 |
| Mailing Address | Practice Location Address |
|---|---|
| Lyda Kongswangwongsa, 547 W Maple Ave, Orange, CA 92868-2209 Ph: (909) 636-8125 | Lyda Kongswangwongsa, 547 W Maple Ave, Orange, CA 92868-2209 Ph: (909) 636-8125 |
Mrs. Ayren Ellen Dreyer, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1301 W Providence Ave, Orange, CA 92868 Phone: 714-639-4990 | |
Janelle Briana Cubas, B.A. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1301 W Providence Ave, Orange, CA 92868 Phone: 714-639-4990 | |
Patricia Marie Rossi, T-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1301 W Providence Ave, Orange, CA 92868 Phone: 714-923-1527 Fax: 714-639-2282 | |
Sarah Kim Chang, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 140 S Flower St Ste 100, Orange, CA 92868 Phone: 714-683-5876 | |
Yomna Elsiddig, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1301 W Providence Ave, Orange, CA 92868 Phone: 714-639-4990 | |
Tracy Morillo, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1301 W Providence Ave, Orange, CA 92868 Phone: 714-639-4990 | |
Vivian Megan Li, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1301 W Providence Ave, Orange, CA 92868 Phone: 714-639-4990 |