Individual
AMBER BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
840 N AVENUE 66, LOS ANGELES, CA 90042-1508
(626) 395-7100
Mailing address
840 N AVENUE 66, LOS ANGELES, CA 90042-1508
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CI36631022
CA
1041C0700X
Clinical Social Worker
—
CA
225400000X
Rehabilitation Practitioner
CI36631022
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
03/25/2021
Last updated
12/12/2025
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