Individual
IANA CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTL/R
Contact information
Practice address
2023 S WESTGATE AVE, LOS ANGELES, CA 90025-6118
(310) 899-9597
Mailing address
2023 S WESTGATE AVE, LOS ANGELES, CA 90025-6118
(310) 899-9597
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
24601
CA
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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