Individual
MR. CHIKKANAYAKANAHALLI SWAMYSRIDHARA SIDDHARTHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC- SLP
Contact information
Practice address
3330 RURAL CIR, CORONA, CA 92882-8382
(626) 283-1490
Mailing address
3330 RURAL CIR, CORONA, CA 92882-8382
(626) 283-1490
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17429
CA
Other
Enumeration date
02/18/2010
Last updated
06/07/2022
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