Healthcare Provider Details

I. General information

NPI: 1376356386
Provider Name (Legal Business Name): ADAMARY OSUNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/31/2025
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

919 1ST ST. SAN FERNANDO
SAN FERNANDO CA
91340
US

IV. Provider business mailing address

4917 IMLAY AVE
CULVER CITY CA
90230-5205
US

V. Phone/Fax

Practice location:
  • Phone: 818-256-1124
  • Fax:
Mailing address:
  • Phone: 310-621-5401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW134379
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: