Individual
COMANIKA M PORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
427 E 107TH ST, LOS ANGELES, CA 90003-4920
(949) 422-9753
Mailing address
427 E 107TH ST, LOS ANGELES, CA 90003-4920
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/03/2026
Last updated
06/05/2026
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