Individual
KIMBERLY C PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 ADKISSON AVE, LOS ANGELES, CA 90063-1907
(323) 943-6501
Mailing address
1500 ADKISSON AVE, LOS ANGELES, CA 90063-1907
(323) 943-6501
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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