Healthcare Provider Details

I. General information

NPI: 1710355474
Provider Name (Legal Business Name): KAREN OCHOA MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2015
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

757 WESTWOOD PLZ STE B788
LOS ANGELES CA
90095-8358
US

IV. Provider business mailing address

757 WESTWOOD PLZ STE B788
LOS ANGELES CA
90095-8358
US

V. Phone/Fax

Practice location:
  • Phone: 424-946-5064
  • Fax:
Mailing address:
  • Phone: 424-946-5064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW88469
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: