Daz & Associates Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS11387 Issued in CA

Legal business name

DAZ & ASSOCIATES INC

Practice address

11500 W Olympic Blvd
400
Los Angeles, CA 90064-1524

Phone

(424) 239-6472

NPI assigned

Feb 3, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Ellen Rona Kimmel, LCSW

Title

Clinical Director

Phone

(323) 447-8372

Specialties & licenses 2

Addresses

Other names 1

• DAZ Foundation Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katina K Kostoulas, PHD

  • Psychologist
  • San Francisco, CA
  • NPI 1922174572
  NPD (past)

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1235435520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 WASHINGTON BLVD",
            "address_2": "815",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925442",
            "telephone_number": "323-447-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 W OLYMPIC BLVD",
            "address_2": "400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641524",
            "telephone_number": "424-239-6472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAZ & ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-03",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "KIMMEL",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "RONA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "323-447-8372",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "ASW27738",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS11387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAZ Foundation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Myra Guemo Dayrit, RPT
• Robbin Ilagan Dayrit, NP
• Diane P Dayton, CRNA
• Shahrokh Dayyani, O.D.
• Ziba Dayyani
• Erica Daza
• Danielle Daze, CF-SLP
• DB Physical Therapy PC
• DBMD Inc
• DBT California

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.