MEDICARE: MR. JOHN KENNETH PROCTOR MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	16760	CA

General Provider Information

NPI Number	:	1316191588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOHN KENNETH PROCTOR MSW

Provider Business Mailing Address
First Line	:	3437 W 82ND PL
Second Line	:
City	:	INGLEWOOD
State	:	CA
Zip	:	90305-1602
Country	:	US
Telephone Number	:	323-971-0877
Fax Number	:	323-759-2697

Provider Business Practice Location Address
First Line	:	6519 8TH AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90043-4313
Country	:	US
Telephone Number	:	323-750-5167
Fax Number	:	323-759-2697

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2008
Last Update Date	:	11/13/2008

Similar Medicare Providers

1346369444 — MS. NICOLE C MC MAHON LCSW
Practice Location Address:

6519 8TH AVE
LOS ANGELES, CA
90043-4313

Practice Phone: 323-750-5167
Practice Fax:

1134248255 — MS. CHRISHONE DICKERSON LCSW
Practice Location Address:

6519 8TH AVE # 46
LOS ANGELES, CA
90043-4313

Practice Phone: 213-694-0045
Practice Fax: 323-754-2856

1972622017 — LOS ANGELES UNIFIED SCHOOL DISTRICT
Practice Location Address:

6519 8TH AVE
LOS ANGELES, CA
90043-4313

Practice Phone: 323-750-5167
Practice Fax:

1366561383 — DR. MARLENE HOLLIS OCHETTI LCSW
Practice Location Address:

6519 8TH AVE BUNGALOW B-46
LOS ANGELES, CA
90043-4313

Practice Phone: 323-750-5167
Practice Fax:

1043468481 — TINA TING-FANG YING MSW
Practice Location Address:

6519 8TH AVE # 46
LOS ANGELES, CA
90043-4313

Practice Phone: 323-750-6167
Practice Fax:

1003068206 — ST. JOHNS COMMUNITY HEALTH
Practice Location Address:

6505 8TH AVE
LOS ANGELES, CA
90043-4313

Practice Phone: 323-541-1600
Practice Fax: 323-541-1665

Directions to “ MR. JOHN KENNETH PROCTOR MSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.