Individual
KALICIA BURRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8300 S VERMONT AVE, LOS ANGELES, CA 90044
(323) 525-6400
(323) 565-2133
Mailing address
1045 W REDONDO BEACH BLVD STE 300, GARDENA, CA 90247-4175
(323) 241-6730
(323) 967-0614
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/22/2015
Last updated
06/26/2024
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