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Provider Information for 1629560610


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JAVIER ZUNIGA LCSW


Sex: Male

NPI: 1629560610
Last Updated: 2018-06-05
Certification Date:

Details

NameValue
NPI1629560610
Enumeration Date2018-06-05
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 333 S BEAUDRY AVE
LOS ANGELES, CA 90017-1466
United States

Phone: 213-241-3841 | Fax:213-241-3305
 
Primary Practice Address 333 S BEAUDRY AVE
LOS ANGELES, CA 90017-1466
United States

Phone: 213-241-3841 | Fax:213-241-3305
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 1041C0700X - Social Worker - Clinical
Yes 1041C0700X - Social Worker - ClinicalCALCS22661