Individual
MICHAEL MINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3533 MOTOR AVE, LOS ANGELES, CA 90034-4806
(310) 836-8900
Mailing address
3602 MOTOR AVE APT 25, LOS ANGELES, CA 90034-4894
(929) 361-5843
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5479
CA
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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