Individual
GUILLERMO JOEL CARBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 919-8769
Mailing address
11301 WILSHIRE BLVD BLDG 500, LOS ANGELES, CA 90073-1003
(310) 919-8769
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1417
CA
225X00000X
Occupational Therapist
—
VA
Other
Enumeration date
04/20/2006
Last updated
01/23/2024
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