Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derjen Luo

Individual provider Occupational Therapy Assistant · NPI 1124485636

Derjen Luo is an Occupational Therapy Assistant in Pomona, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

17 San Raphael Pl
Pomona, CA 91766-4788
Phone: (909) 837-5352
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 2507 (CA)

Record details

NPI number1124485636
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 28, 2016
Last updated in NPPESJanuary 28, 2016
Mailing address17 San Raphael Pl, Pomona, CA 91766-4788

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