Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Yevgeny EDD Jozef Marababol Medalle, OTR/L

Individual provider Occupational Therapist · NPI 1124885843

Yevgeny EDD Jozef Marababol Medalle, OTR/L is an Occupational Therapist in Lakewood, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024
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

3300 E South St Ste 203
Lakewood, CA 90805-4589
Phone: (562) 512-3320
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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 25642 (CA)

Record details

NPI number1124885843
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedFebruary 29, 2024
Last updated in NPPESFebruary 29, 2024
Certification dateFebruary 29, 2024

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