Individual
ANGELICA M PALENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 KOHLER ST, LOS ANGELES, CA 90021-1023
(213) 620-5712
Mailing address
615 KOHLER ST, LOS ANGELES, CA 90021-1023
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ASW131680
CA
172V00000X
Community Health Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/11/2023
Last updated
09/23/2025
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