Active NPI
Maureen Dolores Burruel, MSW
- Social Worker
- Los Angeles, CA
National Provider Identifier
1821282302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 22329
- Practice address
- 11301 Wilshire Blvd BLDG 500
Los Angeles, CA 90073-1003 - Phone
- (310) 478-3711
- NPI assigned
- Aug 28, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 22329 | CA | Primary |
Addresses
Primary practice location
11301 Wilshire Blvd BLDG 500
Los Angeles, CA 90073-1003
Mailing address
4619 Coolidge Ave
Culver City, CA 90230-5114
Phone (310) 993-9668
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201046400000",
"number": "1821282302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4619 COOLIDGE AVE",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902305114",
"telephone_number": "310-993-9668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11301 WILSHIRE BLVD BLDG 500",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900731003",
"telephone_number": "310-478-3711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURRUEL",
"first_name": "MAUREEN",
"middle_name": "DOLORES",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-28",
"last_updated": "2008-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "22329",
"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 Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.