Individual
BRENDAN LASCALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
11840 S LA CIENEGA BLVD, HAWTHORNE, CA 90250-3459
(424) 269-3400
(310) 882-5451
Mailing address
1540 ALCAZAR ST STE 133, LOS ANGELES, CA 90089-1029
(323) 442-3550
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/28/2020
Last updated
03/30/2022
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