DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MS. ANTOINETTE MARIE WASHINGTON

MEDICARE:  MS. ANTOINETTE MARIE WASHINGTON
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
1101YM0800XMental Health Counselor
21041C0700XClinical Social Worker65714CA

General Provider Information

NPI Number : 1841335890
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANTOINETTE MARIE WASHINGTON
Provider Business Mailing Address
First Line : 4513 4TH AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90043-1438
Country : US
Telephone Number : 310-678-5561
Fax Number :
Provider Business Practice Location Address
First Line : 1045 W REDONDO BEACH BLVD STE 300
Second Line :
City : GARDENA
State : CA
Zip : 90247-4175
Country : US
Telephone Number : 323-241-6730
Fax Number : 323-967-0614
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2007
Last Update Date : 11/10/2022

Similar Medicare Providers

1801974357 — MRS. SANDRA LUZ ARTEAGA
Practice Location Address:
1045 W REDONDO BEACH BLVD STE 300
GARDENA, CA
90247-4175
Practice Phone: 323-241-6730
Practice Fax: 323-967-0614
1205812500 — DR. EMELOU SAGARAL MD
Practice Location Address:
1045 W REDONDO BEACH BLVD STE 300 , LA VIDA FAMILY MEDICINE
GARDENA, CA
90247-4175
Practice Phone: 310-352-4170
Practice Fax:
1891862827 — GEORGE PETER DAVIDSON LCSW
Practice Location Address:
1045 W REDONDO BEACH BLVD STE 300
GARDENA, CA
90247-4175
Practice Phone: 323-241-6730
Practice Fax:
1962529024 — MS. TANYA VIVAS MSW
Practice Location Address:
1045 W REDONDO BEACH BLVD STE 300
GARDENA, CA
90247-4175
Practice Phone: 323-241-6730
Practice Fax: 323-756-1163
1629211396 — DEANNA MARIE KING
Practice Location Address:
1045 W REDONDO BEACH BLVD STE 300
GARDENA, CA
90247-4175
Practice Phone: 323-241-6730
Practice Fax: 310-324-2111
1083962096 — LOURDES ORTEGA MIRANDA LCSW
Practice Location Address:
1045 W REDONDO BEACH BLVD STE 300
GARDENA, CA
90247-4175
Practice Phone: 323-241-6730
Practice Fax:

Directions to “ MS. ANTOINETTE MARIE WASHINGTON ” 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.