Individual
MEENADCHI GUNANAYAGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTS
Contact information
Practice address
1433 S ROBERTSON BLVD, LOS ANGELES, CA 90035-3414
(310) 785-2121
Mailing address
155 N OCCIDENTAL BLVD, LOS ANGELES, CA 90026-4641
(213) 381-2931
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
OT18362
CA
Other
Enumeration date
09/13/2016
Last updated
05/28/2019
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