Individual provider · Type 1 NPI

Oliva Licea

Rehabilitation Practitioner · Gardena, CA

NPI number 1679953616 Active

Practice location

108 W Victoria St
Gardena, CA 90248-3523

Call (310) 715-2020 Map

Mailing address

4312 W 180th St Apt 7
Torrance, CA 90504-3641

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1679953616

Oliva Licea's National Provider Identifier is 1679953616, issued on Jun 4, 2015. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Gardena, CA. The record was last updated on Jun 4, 2015.