Basic Information
| Provider Information | |||||||||
| NPI: | 1669577193 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LOYA | ||||||||
| FirstName: | LINDY | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | MA OTR CHT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 671 W NAOMI AVE | ||||||||
| Address2: | |||||||||
| City: | ARCADIA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 910077502 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6264467027 | ||||||||
| FaxNumber: | 6265662787 | ||||||||
| Practice Location | |||||||||
| Address1: | 671 W NAOMI AVE | ||||||||
| Address2: | |||||||||
| City: | ARCADIA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 910077502 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6264467027 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/13/2006 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225XH1200X | OT4428HTCPAM | CA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Hand |
ID Information
| ID | Type | State | Issuer | Description | N004429A | 01 | OLD PROVIDER NUMBER | OTHER | P10551 | 01 | OLD UPIN | OTHER | W16195 | 01 | GROUP | OTHER | WOT4428A | 01 | NEW PIN | OTHER |