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OLIVA LICEA
NPI 1679953616
Rehabilitation Practitioner in Gardena, CA

Active since June 04, 2015
108 W VICTORIA ST, GARDENA, CA 90248(310) 715-2020 Get Directions Write a Review

NPPES record last updated: June 4, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Oliva Licea NPPES

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

OLIVA LICEA (NPI 1679953616) is an individual rehabilitation practitioner in Gardena, California and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1679953616
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameOLIVA LICEA
Location Address108 W VICTORIA STGardena, CA 90248-3523
Mailing Address4312 W 180th St Apt 7Torrance, CA 90504-3641 · (310) 508-5529
Phone(310) 715-2020
Sole ProprietorNo
Enumeration DateJune 4, 2015
✔ NPI 1679953616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
108 W VICTORIA ST, Gardena, CA 90248
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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.

GERARDO GOMEZ
Rehabilitation Practitioner
108 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
VANESSA AVILA
Rehabilitation Practitioner
108 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
JUSTIN A PARNELL
Occupational Therapist
108 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
AMBER KAI PARKER RBT
Rehabilitation Practitioner
108 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
ELISA ANGELINE WRIGHT ADAMS
Student in an Organized Health Care Education/Training Program
108 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
MR. JOSE D, FERNANDEZ
Rehabilitation Practitioner
108 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
MRS. IVA SVETLIKOVA M.S. MFT
Marriage & Family Therapist
108 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
MRS. SAYO MATSUDA
Marriage & Family Therapist
108 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (424) 757-4226

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oliva Licea's NPI number?

The NPI number for Oliva Licea is 1679953616. It was assigned to this individual provider in the NPPES registry on June 4, 2015.

Where is Oliva Licea located?

Oliva Licea practices at 108 W Victoria St, Gardena, CA 90248. The listed phone number is (310) 715-2020.

What is Oliva Licea's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Oliva Licea was last updated on June 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.