Healthcare Provider Details

I. General information

NPI: 1912810771
Provider Name (Legal Business Name): SCOTT CASO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2615 PACIFIC COAST HWY STE 319
HERMOSA BEACH CA
90254-2222
US

IV. Provider business mailing address

28625 S WESTERN AVE
RANCHO PALOS VERDES CA
90275-0810
US

V. Phone/Fax

Practice location:
  • Phone: 310-974-0533
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: