MEDICARE: GABRIELA MARIA KUNZ 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	390200000X	Student in an Organized Health Care Education/Training Program
2	1041C0700X	Clinical Social Worker	LCSW129067	CA
3	101YM0800X	Mental Health Counselor	ASW109030	CA
4	104100000X	Social Worker	ASW109030	CA
5	171M00000X	Case Manager/Care Coordinator
6	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1932697224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELA MARIA KUNZ MSW

Provider Business Mailing Address
First Line	:	1928 DRACENA DR APT 7
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-3125
Country	:	US
Telephone Number	:	213-308-8121
Fax Number	:

Provider Business Practice Location Address
First Line	:	237 N CENTRAL AVE FL 2
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-3526
Country	:	US
Telephone Number	:	818-547-9544
Fax Number	:

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

Provider Enumeration Date	:	04/23/2018
Last Update Date	:	03/19/2025

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