Healthcare Provider Details

I. General information

NPI: 1871407403
Provider Name (Legal Business Name): DONALD FELIPE HARRIS COTA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7890 E SPRING ST UNIT 4E
LONG BEACH CA
90815-1639
US

IV. Provider business mailing address

7890 E SPRING ST UNIT 4E
LONG BEACH CA
90815-1639
US

V. Phone/Fax

Practice location:
  • Phone: 714-376-3435
  • Fax:
Mailing address:
  • Phone: 714-376-3435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number1772
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: