Individual
CLAUDIA E GONGORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1891 EFFIE ST, LOS ANGELES, CA 90026-1711
(323) 644-2000
Mailing address
1891 EFFIE ST, LOS ANGELES, CA 90026-1711
(323) 644-2000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1921
CA
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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