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

Vivian Pan, OTR/L

Individual provider Physical Rehabilitation Occupational Therapist · NPI 1619503679

Vivian Pan, OTR/L is a Physical Rehabilitation Occupational Therapist in LA Jolla, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

9300 Campus Point Dr
LA Jolla, CA 92037-1300
Phone: (858) 657-7990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Rehabilitation Occupational Therapist (primary) Taxonomy 225XP0019X · Licence 19730 (CA)

Record details

NPI number1619503679
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedMarch 20, 2020
Last updated in NPPESMarch 23, 2020
Certification dateMarch 23, 2020

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