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

Matthew Lawantoro

Individual provider Occupational Therapist · NPI 1073020210

Matthew Lawantoro is an Occupational Therapist in Grand Terrace, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018

Practice location Address checks out

12000 Mount Vernon Ave
Grand Terrace, CA 92313-5174
Phone: (909) 825-5221
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 15625 (CA)

Record details

NPI number1073020210
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 9, 2018
Last updated in NPPESJanuary 9, 2018
Mailing address26358 Saint David St, Loma Linda, CA 92354-4178

Other providers in Grand Terrace