Healthcare Provider Details

I. General information

NPI: 1548195621
Provider Name (Legal Business Name): XERNA LORENZO OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18630 SUTTER BLVD STE 100
MORGAN HILL CA
95037-2845
US

IV. Provider business mailing address

6449 SAN IGNACIO AVE
SAN JOSE CA
95119-1729
US

V. Phone/Fax

Practice location:
  • Phone: 408-778-6200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number29227
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: