Provider Demographics
NPI:1609078674
Name:REINGOLD, FARYL SALIMAN (MA, OTR-L)
Entity Type:Individual
Prefix:MS
First Name:FARYL
Middle Name:SALIMAN
Last Name:REINGOLD
Suffix:
Gender:F
Credentials:MA, OTR-L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8033 W SUNSET BLVD # 80
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90046-2401
Mailing Address - Country:US
Mailing Address - Phone:213-707-4203
Mailing Address - Fax:
Practice Address - Street 1:8704 SANTA MONICA BLVD STE 300
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90069-4548
Practice Address - Country:US
Practice Address - Phone:310-659-1077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT7904225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist