Provider Demographics
NPI:1063247476
Name:PRADO, ARTURO
Entity type:Individual
Prefix:
First Name:ARTURO
Middle Name:
Last Name:PRADO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ART
Other - Middle Name:
Other - Last Name:PRADO ZAMORA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:25 LILIANO
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-5303
Mailing Address - Country:US
Mailing Address - Phone:949-390-3890
Mailing Address - Fax:
Practice Address - Street 1:25 LILIANO
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-5303
Practice Address - Country:US
Practice Address - Phone:949-390-3890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA90872355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant