Basic Information
| Provider Information | |||||||||
| NPI: | 1376817858 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KAMINSKY | ||||||||
| FirstName: | NEIL | ||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5870 MELROSE AVE | ||||||||
| Address2: | #3-415 | ||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900383756 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3233930182 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 23501 CINEMA DR | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | VALENCIA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913555428 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6612884800 | ||||||||
| FaxNumber: | 6612542041 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/01/2012 | ||||||||
| LastUpdateDate: | 03/13/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | LCS 14810 | CA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.