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

Oliva Licea

Individual provider Rehabilitation Practitioner · NPI 1679953616

Oliva Licea is a Rehabilitation Practitioner in Gardena, California. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

108 W Victoria St
Gardena, CA 90248-3523
Phone: (310) 715-2020
Show map & directions

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

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1679953616
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 4, 2015
Last updated in NPPESJune 4, 2015
Mailing address4312 W 180th St Apt 7, Torrance, CA 90504-3641

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