Organization Active NPI

DRK Co

  • Clinical Social Worker
  • Torrance, CA
National Provider Identifier
1275878472
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS523CBD9511 Issued in CA
Legal business name
DRK CO
Practice address
22930 Crenshaw Blvd
Suite a-2
Torrance, CA 90505
Phone
(323) 345-4969
Fax
(310) 530-9475
NPI assigned
Nov 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LCS523CBD9511 CA Primary

Addresses

Primary practice location

22930 Crenshaw Blvd
Suite a-2
Torrance, CA 90505

Mailing address

26015 Narbonne Ave
Suite 15
Lomita, CA 90717-3026
Phone (323) 345-4969

National Provider Directory

National Provider Directory

Locations

22930 Crenshaw Blvd
Ste A2
Torrance, CA 90505
Phone (310) 326-9654

NPI Registry JSON

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1275878472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26015 NARBONNE AVE",
            "address_2": "SUITE 15",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907173026",
            "telephone_number": "323-345-4969",
            "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": "SUITE 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": "2012-11-29",
        "last_updated": "2012-11-29",
        "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": "LCSW CBD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS523CBD9511",
            "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 Nov 29, 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.