Individual
AYUMI OMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1730 W OLYMPIC BLVD, FLOOR 3A, SUITE #100, LOS ANGELES, CA 90015-1019
(213) 553-1884
(213) 236-9662
Mailing address
1730 W OLYMPIC BLVD, FLOOR 3A, SUITE #100, LOS ANGELES, CA 90015-1019
(213) 553-1884
(213) 236-9662
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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