Individual provider · Type 1 NPI

Skyler Kinomoto

Speech-Language Pathologist · Lake Forest, CA

NPI number 1003712290 Active

Practice location

25531 Commercentre Dr Ste 120
Lake Forest, CA 92630-8874

Mailing address

25261 Misty Rdg
Mission Viejo, CA 92692-2877

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X21896 (CA)

Speech-Language Pathologist: 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, resonan…

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About NPI 1003712290

Skyler Kinomoto's National Provider Identifier is 1003712290, issued on Oct 15, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Lake Forest, CA. The record was last updated on Oct 15, 2026.