Healthcare Provider Details

I. General information

NPI: 1942130679
Provider Name (Legal Business Name): STEPHANIE IMELDA PEREZ OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8800 MARY AVE
LOS ANGELES CA
90002-1243
US

IV. Provider business mailing address

8800 MARY AVE
LOS ANGELES CA
90002-1243
US

V. Phone/Fax

Practice location:
  • Phone: 323-532-6226
  • Fax:
Mailing address:
  • Phone: 323-532-6226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number28456
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: