Healthcare Provider Details

I. General information

NPI: 1457752644
Provider Name (Legal Business Name): ANGELA UZONDU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2014
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2851 W 120TH ST
HAWTHORNE CA
90250-3395
US

IV. Provider business mailing address

2851 W 120TH ST
HAWTHORNE CA
90250-3395
US

V. Phone/Fax

Practice location:
  • Phone: 310-916-5208
  • Fax: 310-916-5208
Mailing address:
  • Phone: 310-916-5208
  • Fax: 310-916-5208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number141631
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: