Organization Active NPI

DRK Co

  • Clinical Social Worker
  • Torrance, CA
National Provider Identifier
1184960478
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5239511 Issued in CA
Legal business name
DRK CO
Practice address
22930 Crenshaw Blvd.
Ste a-2
Torrance, CA 90505
Phone
(323) 345-4969
Fax
(310) 530-9475
NPI assigned
Dec 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Diana Ruth Krishun, LCSW523CBD9511
Title
President
Phone
(310) 530-9475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 5239511 CA Primary

Addresses

Primary practice location

22930 Crenshaw Blvd.
Ste a-2
Torrance, CA 90505

Mailing address

1785 Sahara Ave
Ste 490-983
Los Vegas, NV 89104
Phone (800) 829-4933

National Provider Directory

National Provider Directory

Locations

1785 E Sahara Ave
Ste 490983
Las Vegas, NV 89104

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355443200000",
    "number": "1184960478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 SAHARA AVE",
            "address_2": "STE 490-983",
            "city": "LOS VEGAS",
            "state": "NV",
            "postal_code": "89104",
            "telephone_number": "800-829-4933",
            "fax_number": "310-530-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22930 CRENSHAW BLVD.",
            "address_2": "STE A-2",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90505",
            "telephone_number": "323-345-4969",
            "fax_number": "310-530-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRK CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-14",
        "last_updated": "2012-12-14",
        "status": "A",
        "authorized_official_last_name": "KRISHUN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-530-9475",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW523CBD9511"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "5239511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.