Individual
BERENICE MIRAMONTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12021 WILMINGTON AVE STE 2B, LOS ANGELES, CA 90059-3019
(310) 221-6336
Mailing address
12021 WILMINGTON AVE STE 2B, LOS ANGELES, CA 90059-3019
(310) 221-6336
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ACSW132517
CA
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/11/2023
Last updated
08/08/2025
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