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NPI Code Detail

MEDICARE: CALVIN JEROME POUNCY DSW

MEDICARE: CALVIN JEROME POUNCY DSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerASW126233CA
2101YM0800XMental Health Counselor25-QMHP-R-3487OR

General Provider Information

NPI Number : 1376834507
Entity Type Code : Individual
Provider Name (Legal Business Name) : CALVIN JEROME POUNCY DSW
Provider Business Mailing Address
First Line : 2116 ARLINGTON AVE STE 100
Second Line :
City : LOS ANGELES
State : CA
Zip : 90018-1300
Country : US
Telephone Number : 323-334-9000
Fax Number :
Provider Business Practice Location Address
First Line : 2116 ARLINGTON AVE STE 100
Second Line :
City : LOS ANGELES
State : CA
Zip : 90018-1300
Country : US
Telephone Number : 323-334-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2011
Last Update Date : 11/22/2025

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Directions to “ CALVIN JEROME POUNCY DSW” Practice Location

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