Anna-lorraine Gonzaga Holley, OTR/L, C/NDT | |
15454 Gale Ave, Suite F, Hacienda Heights, CA 91745-1500 | |
(626) 330-1538 | |
(626) 239-1868 |
Full Name | Anna-lorraine Gonzaga Holley |
---|---|
Gender | Female |
Speciality | Occupational Therapist - Pediatrics |
Location | 15454 Gale Ave, Hacienda Heights, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033443890 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XP0200X | Occupational Therapist - Pediatrics | OT 1262 (California) | Primary |
Provider Name | Southern California Permanente Medical Group |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Anna-lorraine Gonzaga Holley, OTR/L, C/NDT 15701 Canon Ln, Chino Hills, CA 91709-5247 Ph: (909) 282-0231 | Anna-lorraine Gonzaga Holley, OTR/L, C/NDT 15454 Gale Ave, Suite F, Hacienda Heights, CA 91745-1500 Ph: (626) 330-1538 |
Miss Sylvia Lim, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15454 Gale Ave, Hacienda Heights, CA 91745 Phone: 626-330-1538 | |
Mrs. Ashwini Vaze, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15454 Gale Ave, Suite E-1, Hacienda Heights, CA 91745 Phone: 626-330-1538 | |
Miss Frances Montesa, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15454 Gale Ave, Hacienda Heights, CA 91745 Phone: 626-330-1538 | |
Tritia Liang Herrera, MOT, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1429 Forest Glen Dr, Hacienda Heights, CA 91745 Phone: 626-912-7477 | |
Wendy Zhu, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15454 Gale Ave, Hacienda Heights, CA 91745 Phone: 626-330-1538 | |
Veronica Sangyeon Lee, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15454 Gale Ave, Suite E-1, Hacienda Heights, CA 91745 Phone: 626-330-1538 Fax: 909-606-9182 |