Healthcare Provider Details

I. General information

NPI: 1568174621
Provider Name (Legal Business Name): ABIGAIL YAP CASTILLO COTA/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2022
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 E FOOTHILL BLVD STE 100
ARCADIA CA
91006-2600
US

IV. Provider business mailing address

317 E FOOTHILL BLVD STE 100
ARCADIA CA
91006-2600
US

V. Phone/Fax

Practice location:
  • Phone: 626-275-6302
  • Fax: 626-226-5962
Mailing address:
  • Phone: 626-275-6302
  • Fax: 626-226-5962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number7575
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: