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Individual

BRENDA VARGAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
16650 SHERMAN WAY # 201, VAN NUYS, CA 91406-3782
(818) 785-0103
(818) 785-0145
Mailing address
16650 SHERMAN WAY # 201, VAN NUYS, CA 91406-3782
(818) 336-0611

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW137052
CA
1041C0700X
Clinical Social Worker
Primary
ASW137052
CA
172V00000X
Community Health Worker
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Y2393550
CA ID
CA
Enumeration date
08/07/2020
Last updated
04/23/2026
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