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

Michael Vidal, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1790391415

Michael Vidal, COTA/L is an Occupational Therapy Assistant in Long Beach, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
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

2126 Oregon Ave
Long Beach, CA 90806-4141
Phone: (562) 756-5426
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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 5334 (CA)

Record details

NPI number1790391415
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedSeptember 17, 2020
Last updated in NPPESSeptember 17, 2020
Certification dateSeptember 17, 2020
Mailing address2126 Oregon Ave, Long Beach, CA 90806-4141

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