Individual
CARISSA J AUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
28991 OLD TOWN FRONT ST, STE 201, TEMECULA, CA 92590-5803
(951) 506-9800
(951) 506-4245
Mailing address
28991 OLD TOWN FRONT ST, STE 201, TEMECULA, CA 92590-5803
(951) 506-9800
(951) 506-4245
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT5083
CA
225XP0200X
Pediatric Occupational Therapist
Primary
OT5083
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CT0050830
—
CA
01
—
OT0050830
BLUE SHIELD PIN
CA
Enumeration date
07/08/2006
Last updated
09/11/2025
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