Individual
MR. AMILKAR OTTONIEL SOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
631 MAPLE AVE, LOS ANGELES, CA 90014-2211
(562) 651-5019
Mailing address
631 MAPLE AVE, LOS ANGELES, CA 90014-2211
(213) 673-3002
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
115646
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000007206
—
CA
Enumeration date
02/07/2011
Last updated
07/05/2023
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