Individual
ANGELINE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, OTD, OTR/L
Contact information
Practice address
11609 WASHINGTON PL, LOS ANGELES, CA 90066-5013
(310) 775-0356
Mailing address
1919 PALOMINO DR, WEST COVINA, CA 91791-4304
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
20867
CA
Other
Enumeration date
02/12/2022
Last updated
02/12/2022
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