Individual
MRS. ELAINE EVANGELISTA SUCGANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
333 S BEAUDRY AVE FL 17, LOS ANGELES, CA 90017-5105
(818) 600-1137
Mailing address
333 S BEAUDRY AVE FL 17, LOS ANGELES, CA 90017-5105
(818) 600-1137
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
CA
Other
Enumeration date
02/18/2026
Last updated
02/25/2026
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