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

Kalbert Su Wu-Tang

Individual provider Occupational Therapist · NPI 1205781762

Kalbert Su Wu-Tang is an Occupational Therapist in Los Angeles, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

1635 S San Pedro St
Los Angeles, CA 90015-3706
Phone: (213) 747-9538
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 17578 (CA)

Record details

NPI number1205781762
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 2, 2026
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026

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