Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elizabeth Martinez Bonifacio

Individual provider Speech-Language Pathologist · NPI 1417758921

Elizabeth Martinez Bonifacio is a Speech-Language Pathologist in Fountain Valley, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

18837 Brookhurst St Ste 109
Fountain Valley, CA 92708-7301
Phone: (657) 260-8951
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 4507 (CA)

Record details

NPI number1417758921
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 20, 2025
Last updated in NPPESMarch 20, 2025
Certification dateMarch 19, 2025
Mailing address209 Duchess Ln, Santa Ana, CA 92704-1661

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