Healthcare Provider Details

I. General information

NPI: 1851236657
Provider Name (Legal Business Name): CHRISTOPHER OSUNA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11500 W OLYMPIC BLVD STE 470
LOS ANGELES CA
90064-1530
US

IV. Provider business mailing address

3439 GREENSWARD RD
LOS ANGELES CA
90039-2108
US

V. Phone/Fax

Practice location:
  • Phone: 310-473-8287
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number51895
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: