Healthcare Provider Details

I. General information

NPI: 1801042445
Provider Name (Legal Business Name): RENA DININ KATRIKH OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RENA DININ

II. Dates (important events)

Enumeration Date: 08/14/2008
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 S BEAUDRY AVE FL 17
LOS ANGELES CA
90017-5105
US

IV. Provider business mailing address

333 S BEAUDRY AVE FL 17
LOS ANGELES CA
90017-5105
US

V. Phone/Fax

Practice location:
  • Phone: 213-241-6207
  • Fax:
Mailing address:
  • Phone: 213-241-6207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number10747
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: