Individual
CHRISTIAN LEIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20234 CANTARA ST UNIT 302, WINNETKA, CA 91306-1893
(818) 324-0643
Mailing address
20234 CANTARA ST UNIT 302, WINNETKA, CA 91306-1893
(818) 324-0643
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2894
CA
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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