JAN MINETTE KOMENKUL MA, CCC-SLP
NPI 1720711492
Speech-Language Pathologist in Monterey Park, CA

Active since July 08, 2022
318 S RAMONA AVE, MONTEREY PARK, CA 91754(714) 867-7775 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jan Minette Komenkul Ma, Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAN MINETTE KOMENKUL MA, CCC-SLP (NPI 1720711492) is an individual speech-language pathologist provider in Monterey Park, California, licensed in California (20996) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1720711492
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJAN MINETTE KOMENKULCredential: MA, CCC-SLP
Location Address318 S RAMONA AVEMonterey Park, CA 91754-3237
Mailing AddressPo Box 24Monterey Park, CA 91754-0024
Sole ProprietorYes
Enumeration DateJuly 8, 2022
NPPES CertifiedJuly 8, 2022
NPI 1720711492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in CA · 20996
Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

318 S RAMONA AVE, Monterey Park, CA 91754

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720711492, enumerated as an "individual" on July 08, 2022.

The provider is located at 318 S RAMONA AVE MONTEREY PARK, CA 91754 and the phone number is (714) 867-7775.

Speech-Language Pathologist with taxonomy code 235Z00000X.