Healthcare Provider Details

I. General information

NPI: 1770918138
Provider Name (Legal Business Name): AMBAR N NAVARRO LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2013
Last Update Date: 10/24/2024
Certification Date: 10/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2040 CAMFIELD AVE.
LOS ANGELES CA
90040
US

IV. Provider business mailing address

PO BOX 4725
DOWNEY CA
90241
US

V. Phone/Fax

Practice location:
  • Phone: 323-725-8751
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number108589
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: