Healthcare Provider Details

I. General information

NPI: 1912819178
Provider Name (Legal Business Name): ARIELLE BERNSTEIN OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 MILFORD ST
GLENDALE CA
91203-1708
US

IV. Provider business mailing address

2910 N SAN FERNANDO RD APT 356
LOS ANGELES CA
90065-1383
US

V. Phone/Fax

Practice location:
  • Phone: 818-242-7722
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number28300
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: