Individual
INGRID AZUCENA CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
2700 N MAIN ST STE 945, SANTA ANA, CA 92705-6678
(714) 542-1234
Mailing address
15410 LORETTA DR, LA MIRADA, CA 90638-1536
(562) 266-7160
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
24278
CA
Other
Enumeration date
07/17/2016
Last updated
04/09/2026
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