Individual
VINNICE ORDAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3533 MOTOR AVE, LOS ANGELES, CA 90034-4806
(310) 836-8900
Mailing address
1216 N ALEXANDRIA AVE, LOS ANGELES, CA 90029-1404
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4083
CA
Other
Enumeration date
12/02/2017
Last updated
12/02/2017
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