Healthcare Provider Details

I. General information

NPI: 1285752261
Provider Name (Legal Business Name): CAROLINA ONG OTR, L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 LAGUNA HONDA BLVD LAGUNA HONDA HOSPITAL, OCCUPATIONAL THERAPY DEPT.
SAN FRANCISCO CA
94116-1411
US

IV. Provider business mailing address

375 LAGUNA HONDA BLVD LAGUNA HONDA HOSPITAL, OCCUPATIONAL THERAPY DEPT.
SAN FRANCISCO CA
94116-1411
US

V. Phone/Fax

Practice location:
  • Phone: 415-759-4521
  • Fax: 415-759-6317
Mailing address:
  • Phone: 415-759-4521
  • Fax: 415-759-6317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT 454
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code225XE1200X
TaxonomyErgonomics Occupational Therapist
License NumberOT 454
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: