Active NPI
Gabi Lotfi Deak, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1730436569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 23059
- Practice address
- 11340 W Olympic Blvd Ste 365
Los Angeles, CA 90064-1639 - Phone
- (310) 479-4224
- NPI assigned
- Aug 10, 2012
- Last updated
- Aug 10, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 23059 | CA | Primary |
Addresses
Primary practice location
11340 W Olympic Blvd Ste 365
Los Angeles, CA 90064-1639
Mailing address
11340 W Olympic Blvd Ste 365
Los Angeles, CA 90064-1639
Phone (310) 479-4224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344556800000",
"number": "1730436569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11340 W OLYMPIC BLVD STE 365",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641639",
"telephone_number": "310-479-4224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11340 W OLYMPIC BLVD STE 365",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641639",
"telephone_number": "310-479-4224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAK",
"first_name": "GABI",
"middle_name": "LOTFI",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-10",
"last_updated": "2012-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "23059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.