Healthcare Provider Details

I. General information

NPI: 1568030120
Provider Name (Legal Business Name): MIGUEL GALINDO OTD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2021
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11209 DUNCAN AVE
LYNWOOD CA
90262-3040
US

IV. Provider business mailing address

9551 METRO ST
DOWNEY CA
90240-2552
US

V. Phone/Fax

Practice location:
  • Phone: 310-658-0864
  • Fax:
Mailing address:
  • Phone: 310-658-0864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number25115
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: