Active NPI
Myriam Nunez
- Clinical Social Worker
- Harbor City, CA
National Provider Identifier
1942796107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 83730
- Practice address
- 25975 Normandie Ave
Harbor City, CA 90710-3416 - Phone
- (424) 251-7791
- NPI assigned
- Jul 10, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 83730 | CA | Primary |
Addresses
Primary practice location
25975 Normandie Ave
Harbor City, CA 90710-3416
Mailing address
PO Box 153
Torrance, CA 90507-0153
Phone (310) 257-6622
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83730 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531180800000",
"number": "1942796107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 153",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905070153",
"telephone_number": "310-257-6622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25975 NORMANDIE AVE",
"city": "HARBOR CITY",
"state": "CA",
"postal_code": "907103416",
"telephone_number": "424-251-7791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNEZ",
"first_name": "MYRIAM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-10",
"last_updated": "2018-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "83730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harbor City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.