Healthcare Provider Details

I. General information

NPI: 1760343040
Provider Name (Legal Business Name): VALENTIN BACANI ALICANTE OTR/L
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ERIK VALENTIN ALICANTE OTR/L

II. Dates (important events)

Enumeration Date: 11/18/2025
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3680 E IMPERIAL HWY STE 305
LYNWOOD CA
90262-2659
US

IV. Provider business mailing address

4550 LINCOLN AVE UNIT 214
CYPRESS CA
90630-2645
US

V. Phone/Fax

Practice location:
  • Phone: 310-220-6108
  • Fax: 310-220-6109
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number26501
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: