NPI 1144732603
Lorena Correa Villa, RTCTRS
Practice location
- Address
- 1720 E 120th St, Los Angeles, CA 90059-3052
- Phone
- (310) 948-2780
- Mailing address
- 2542 E 218th Pl, Long Beach, CA 90810-1703
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1144732603
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 24 Oct 2017
- Record last updated
- 24 Oct 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.