1336045657 NPI number — MONICA GUTIERREZ ROPER SLP MS-CCC

Table of content: MONICA GUTIERREZ ROPER SLP MS-CCC (NPI 1336045657)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336045657 NPI number — MONICA GUTIERREZ ROPER SLP MS-CCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROPER
Provider First Name:
MONICA
Provider Middle Name:
GUTIERREZ
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
SLP MS-CCC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GUTIERREZ
Provider Other First Name:
MONICA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
SLP MS-CCC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1336045657
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/14/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
405 N MONTEREY ST APT E
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALHAMBRA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91801-2528
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
213-241-3333
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1112 S FORD BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90022-2912
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-268-8508
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/14/2026

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  16098 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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