MEDICARE: DANA KELLY NUMAMOTO OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XH1200X	Hand Occupational Therapist	OT18547	CA

General Provider Information

NPI Number	:	1427551175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANA KELLY NUMAMOTO OTR/L

Provider Business Mailing Address
First Line	:	2108 CAMBRIDGE WAY
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90503-7379
Country	:	US
Telephone Number	:	310-339-8406
Fax Number	:

Provider Business Practice Location Address
First Line	:	6801 PARK TER STE 200
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-1546
Country	:	US
Telephone Number	:	310-665-7100
Fax Number	:	310-665-7101

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2018
Last Update Date	:	10/01/2024

Similar Medicare Providers

1750268520 — KELLY LYNN WALLACE DPT
Practice Location Address:

6801 PARK TER STE 200
LOS ANGELES, CA
90045-1546

Practice Phone: 310-665-7100
Practice Fax: 310-665-7101

1376514984 — DR. ORR LIMPISVASTI MD
Practice Location Address:

6801 PARK TER STE 100
LOS ANGELES, CA
90045-1546

Practice Phone: 310-665-7200
Practice Fax: 310-665-7138

1710149869 — DR. DWIGHT KENNETH LEE MD
Practice Location Address:

6801 PARK TER STE 100
LOS ANGELES, CA
90045-1546

Practice Phone: 310-665-7200
Practice Fax:

1073915286 — STACEY KIM SBUTEGA P.T., D.P.T.
Practice Location Address:

6801 PARK TER STE 200
LOS ANGELES, CA
90045-1546

Practice Phone: 310-665-7100
Practice Fax: 310-665-7101

1285163535 — CHARLES HOMOKY PT, DPT
Practice Location Address:

6801 PARK TER STE 200
LOS ANGELES, CA
90045-1546

Practice Phone: 310-665-7100
Practice Fax:

1295249639 — JESSICA GASS
Practice Location Address:

6801 PARK TER STE 200
LOS ANGELES, CA
90045-1546

Practice Phone: 310-665-7100
Practice Fax: 310-665-7101

Directions to “ DANA KELLY NUMAMOTO OTR/L” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.