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

Liza Kustantin

Individual provider Occupational Therapist · NPI 1184167397

Liza Kustantin is an Occupational Therapist in Private Practice in Los Angeles, California. Qualified in 2016, 10 years ago. Practices as a sole proprietor. Licensed in California and Michigan.

Years since qualifying
10
Licensed in
CA, MI
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

1515 N Alexandria Ave
Los Angeles, CA 90027-5203
Phone: (323) 660-1800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT16697 (CA)
Occupational Therapist Taxonomy 225X00000X · Licence 5201009655 (MI)

Record details

NPI number1184167397
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 21, 2016
Last updated in NPPESNovember 21, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated

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