Healthcare Provider Details

I. General information

NPI: 1386440147
Provider Name (Legal Business Name): CLAIRE MIZRAJI OTR/L, OTD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2025
Last Update Date: 02/21/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4772 KATELLA AVE STE 100
LOS ALAMITOS CA
90720-2681
US

IV. Provider business mailing address

6470 E MANTOVA ST
LONG BEACH CA
90815-4658
US

V. Phone/Fax

Practice location:
  • Phone: 562-430-8700
  • Fax:
Mailing address:
  • Phone: 562-522-8158
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number27377
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: