Lo, Gwendolyn

Lo, Gwendolyn is an individual health care provider with primary practice located at 10929 South St Ste 208B , Cerritos CA 90703. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Lo, Gwendolyn can be contacted via phone (562) 924-5526.

Contact Information

Primary practice address
10929 South St Ste 208B Cerritos CA 90703
Phone: (562) 924-5526
Fax: (562) 924-1040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X ASW 14829 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW27906 California

Profile Details

NPI number 1215125968
LBN Legal business name Lo, Gwendolyn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2007
Last updated Jul 11th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215125968 NPPES
California MEDICAID AAD3392

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