NATIVIDAD OLMEDO - NPI 1336835586 - Rehabilitation Practitioner in Los Angeles, CA

Q: What is the provider's specialty?

The provider's specialty is Rehabilitation Practitioner with taxonomy code 225400000X.

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About Natividad Olmedo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATIVIDAD OLMEDO (NPI 1336835586) is an individual rehabilitation practitioner in Los Angeles, California and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1336835586

Entity TypeIndividualFemale

Primary Taxonomy225400000X

Provider Legal NameNATIVIDAD OLMEDO

Location Address12021 WILMINGTON AVELos Angeles, CA 90059-3019

Mailing Address15556 Vanowen St Apt 21Van Nuys, CA 91406-5146 · (323) 944-9316

Phone(424) 454-5000

Sole ProprietorYes

Enumeration DateApril 12, 2023

Last NPPES UpdateMay 7, 20253 updates tracked since enumeration

NPPES CertifiedMay 7, 2025

✔ NPI 1336835586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225400000X

Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedCommunity Health WorkerTaxonomy 172V00000X

12021 WILMINGTON AVE, Los Angeles, CA 90059

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GANGADARSHNI CHANDRAMOHAN M.D.

Pediatrics (Pediatric Nephrology)