Individual provider · NPI-1

Kareem Abdul-Jabbar

Social Worker, Clinical · Los Angeles, CA

NPI number1235330812
StatusActive
Last updated in NPPESDec 11, 2024

Details

NPI
1235330812
Entity type
Individual (NPI-1)
Name
Mr. Kareem Abdul-Jabbar
Sex
Male
Sole proprietor
No
Enumeration date
May 30, 2007
Certification date
Dec 6, 2024
Last updated
Dec 11, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical83587CAYes

Practice location

711 W Florence Ave
Los Angeles, CA 90044-6105

Phone 323-789-5610 · Fax 323-789-5616

Mailing address

711 W Florence Ave
Los Angeles, CA 90044-6105

Phone 323-789-5610 · Fax 323-789-5616

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