Pamela Duckworth

Individual provider Active NPI Case Manager/Care Coordinator · View Park, CA

NPI 1629447131 · NPPES record last updated Jun 8, 2021

Key facts

NPI
1629447131
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
3751 Stocker St
View Park, CA 90008-5101
Phone
(323) 290-5824
NPI assigned
Sep 15, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

3751 Stocker St
View Park, CA 90008-5101

Mailing address

3751 Stocker St
View Park, CA 90008-5101
Phone (323) 290-5824

Other providers in View Park, CA

All providers in View Park, CA · Case Manager/Care Coordinator in California

Sources for this page

Verify at the official NPI Registry.