Individual
BEDA GAMBOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4816 E 3RD ST, LOS ANGELES, CA 90022-1602
(323) 780-4510
Mailing address
4816 E 3RD ST, LOS ANGELES, CA 90022-1602
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
22123
CA
1041C0700X
Clinical Social Worker
Primary
61555
CA
Other
Enumeration date
07/15/2009
Last updated
11/17/2023
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