Individual
ALFONSO GANDARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1720 E 120TH ST, LOS ANGELES, CA 90059-3052
(213) 598-0980
Mailing address
1720 E 120TH ST, LOS ANGELES, CA 90059-3052
(213) 598-0980
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
CA
1041C0700X
Clinical Social Worker
Primary
94452
CA
Other
Enumeration date
03/15/2016
Last updated
05/11/2021
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