Active NPI
DRK Co
- Clinical Social Worker
- Torrance, CA
National Provider Identifier
1184960478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5239511
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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.