Healthcare Provider Details

I. General information

NPI: 1750202099
Provider Name (Legal Business Name): KELSEY ALEXA STECK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8616 LA TIJERA BLVD STE 322
LOS ANGELES CA
90045-3948
US

IV. Provider business mailing address

24208 VISTA HILLS DR
VALENCIA CA
91355-2843
US

V. Phone/Fax

Practice location:
  • Phone: 424-724-0944
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: