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

Hunter M Penrod, COTA/L

Individual provider Skilled Nursing Facility · NPI 1801589825

Hunter M Penrod, COTA/L is a Skilled Nursing Facility in Spring Valley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

3410 S Cordoba Ave
Spring Valley, CA 91977-3024
Phone: (530) 440-5711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 6452 (CA)

Record details

NPI number1801589825
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedMay 26, 2023
Last updated in NPPESMay 26, 2023
Certification dateMay 26, 2023

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