Ricardo Antonio Pena Mata, OTR/L
Ricardo Antonio Pena Mata, OTR/L is an Occupational Therapist in Private Practice in Commerce, California. Qualified in 2021, 5 years ago. Practices with Kimberly J Evans Otr L Cht Professional Corporation, a 3-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 5
- Licensed in
- CA
- In the registry since
- 2022
What do these letters mean?
- OTR/L — Occupational Therapist, Registered and Licensed
- An occupational therapist who is both nationally registered and state licensed.
Practice location Address checks out
7108 Kuhl DrCommerce, CA 90040-3825
Phone: (323) 997-0137
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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 23376 (CA) |
|---|
Record details
| NPI number | 1760139257 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | OTR/L |
| Sole proprietor | Yes |
| NPI enumerated | March 4, 2022 |
| Last updated in NPPES | March 4, 2022 |
| Certification date | March 4, 2022 |
Medicare enrollment
| Medicare specialty | OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Kimberly J Evans Otr L Cht Professional Corporation — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Commerce
-
Mr. Christian Ventura, OTR/L
2040 Camfield Ave, Commerce, CA 90040-1502 · (323) 725-8751