Individual
MR. LUIS MANUEL MENDOZA RAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1601 S BALDWIN AVE, ARCADIA, CA 91007-7930
(626) 445-2170
Mailing address
3827 PINE AVE, EL MONTE, CA 91731-2125
(626) 485-3271
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4566
CA
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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