Amaro, Diane Phoolserm
Amaro, Diane Phoolserm is an individual health care provider with primary practice located at 333 S Beaudry Ave , Los Angeles CA 90017-1466. She recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Amaro, Diane Phoolserm can be contacted via phone (213) 241-3841.Contact Information
Primary practice address
333 S Beaudry Ave
Los Angeles CA 90017-1466
Phone: (213) 241-3841
Fax: (213) 241-3305
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ASW77640 | California |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 104334 | California |
Profile Details
NPI number | 1316313828 |
---|---|
LBN Legal business name | Amaro, Diane Phoolserm |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 19th, 2015 |
Last updated | Apr 4th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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