Healthcare Provider Details

I. General information

NPI: 1003768615
Provider Name (Legal Business Name): DANIELLE TORRES COTA/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2026
Last Update Date: 02/14/2026
Certification Date: 02/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

532 E DOUBLE ST
CARSON CA
90745-2121
US

IV. Provider business mailing address

532 E DOUBLE ST
CARSON CA
90745-2121
US

V. Phone/Fax

Practice location:
  • Phone: 818-251-0066
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number5392
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: