Healthcare Provider Details

I. General information

NPI: 1013283753
Provider Name (Legal Business Name): CARMIT ZUR LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2012
Last Update Date: 03/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8838 W PICO BLVD
LOS ANGELES CA
90035-3302
US

IV. Provider business mailing address

8838 W PICO BLVD
LOS ANGELES CA
90035-3302
US

V. Phone/Fax

Practice location:
  • Phone: 310-247-0864
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number28279
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: