Individual
MR. HENRY GO PENARANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
3540 WILSHIRE BLVD, 314, LOS ANGELES, CA 90010-2307
(213) 389-1141
(213) 389-1171
Mailing address
3540 WILSHIRE BLVD, 314, LOS ANGELES, CA 90010-2307
(213) 389-1141
(213) 389-1171
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10295
CA
Other
Enumeration date
10/26/2010
Last updated
06/22/2012
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