Provider Demographics
NPI:1801915269
Name:ONG, LAYLIM (OTR/L)
Entity type:Individual
Prefix:MS
First Name:LAYLIM
Middle Name:
Last Name:ONG
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 EVERETT AVE
Mailing Address - Street 2:#B
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91755-4419
Mailing Address - Country:US
Mailing Address - Phone:213-453-3821
Mailing Address - Fax:
Practice Address - Street 1:440 EVERETT AVE
Practice Address - Street 2:#B
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91755-4419
Practice Address - Country:US
Practice Address - Phone:213-453-3821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2013-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT8892225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist