Healthcare Provider Details

I. General information

NPI: 1780540781
Provider Name (Legal Business Name): KRISTA ELIZABETH HERNANDEZ OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2026
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1815 W 213TH ST
TORRANCE CA
90501-2800
US

IV. Provider business mailing address

1815 W 213TH ST STE 100
TORRANCE CA
90501-2852
US

V. Phone/Fax

Practice location:
  • Phone: 310-328-0276
  • Fax: 310-328-7058
Mailing address:
  • Phone: 310-328-0276
  • Fax: 310-328-7058

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number28295
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: