Healthcare Provider Details

I. General information

NPI: 1285587006
Provider Name (Legal Business Name): LINDSEY WOLF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2026
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8435 VICTORIA AVE
SOUTH GATE CA
90280-2353
US

IV. Provider business mailing address

22314 DARDENNE ST
CALABASAS CA
91302-5871
US

V. Phone/Fax

Practice location:
  • Phone: 213-241-1000
  • Fax:
Mailing address:
  • Phone: 818-624-6356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number13937
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: