MEDICARE: MR. PATRICK J LAVELLE O.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	4848	AZ

General Provider Information

NPI Number	:	1649518689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PATRICK J LAVELLE O.T.

Provider Business Mailing Address
First Line	:	4876 SANTA MONICA AVE
Second Line	:	#173
City	:	SAN DIEGO
State	:	CA
Zip	:	92107-2811
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4876 SANTA MONICA AVE
Second Line	:	#173
City	:	SAN DIEGO
State	:	CA
Zip	:	92107-2811
Country	:	US
Telephone Number	:	480-276-7970
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2013
Last Update Date	:	01/25/2013

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1821429119 — MR. SEAN WILLIAM KUHN JR. PT, DPT
Practice Location Address:

4876 SANTA MONICA AVE , # 204
SAN DIEGO, CA
92107-2811

Practice Phone: 619-578-2880
Practice Fax: 619-578-2880

1942758925 — DR. TANNER J SCHULZE, D.C.
Practice Location Address:

4856 SANTA MONICA AVE
SAN DIEGO, CA
92107-2811

Practice Phone: 206-963-4540
Practice Fax:

1871173351 — KAYLA AMBERT DC
Practice Location Address:

4856 SANTA MONICA AVE
SAN DIEGO, CA
92107-2811

Practice Phone: 619-880-0051
Practice Fax:

1780699579 — DR. ALLEN W CHAN
Practice Location Address:

9871 CARMEL MOUNTAIN RD
SAN DIEGO, CA
92129-2811

Practice Phone: 858-484-0800
Practice Fax: 858-484-2813

1841206877 — DR. CASEY S CHAN DC
Practice Location Address:

9871 CARMEL MOUNTAIN RD
SAN DIEGO, CA
92129-2811

Practice Phone: 858-484-0800
Practice Fax: 858-484-2813

Directions to “ MR. PATRICK J LAVELLE O.T.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.