Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kellie Benson Tang, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1639635923

Kellie Benson Tang, CCC-SLP is a Qualified Speech Language Pathologist in Irvine, California. Qualified in 2021, 5 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2019
Specialties on file
2
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

6670 Alton Pkwy
Irvine, CA 92618-3734
Phone: (833) 574-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 33637 (CA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 15948 (CA)

Record details

NPI number1639635923
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedFebruary 12, 2019
Last updated in NPPESFebruary 3, 2024
Certification dateFebruary 3, 2024
Mailing address24398 Kingston Ct, Laguna Hills, CA 92653-6253

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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