Healthcare Provider Details

I. General information

NPI: 1144344722
Provider Name (Legal Business Name): AMBER REI ROBISON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AMBER REI KITO MSW

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 11/13/2023
Certification Date: 11/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

439 W. 97TH ST. CENTRAL CENTER
LOS ANGELES CA
90003
US

IV. Provider business mailing address

2005 W 235TH ST
TORRANCE CA
90501-5811
US

V. Phone/Fax

Practice location:
  • Phone: 323-754-2856
  • Fax: 323-754-1843
Mailing address:
  • Phone: 310-530-0799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: