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

Julian Ponferrada

Individual provider Occupational Therapy Assistant · NPI 1639630155

Julian Ponferrada is an Occupational Therapy Assistant in Redondo Beach, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

2602 Nelson Ave
Redondo Beach, CA 90278-2613
Phone: (310) 658-3171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 5564 (CA)

Record details

NPI number1639630155
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 27, 2019
Last updated in NPPESMarch 27, 2019
Mailing address120 36th St, Manhattan Beach, CA 90266-3202

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