Basic Information
| Provider Information | |||||||||
| NPI: | 1386734895 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | URASAKI | ||||||||
| FirstName: | DAWN | ||||||||
| MiddleName: | E | ||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 550 S VERMONT AVE | ||||||||
| Address2: | 10TH FLOOR | ||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900201912 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2139961343 | ||||||||
| FaxNumber: | 2139961350 | ||||||||
| Practice Location | |||||||||
| Address1: | 100 W 1ST ST | ||||||||
| Address2: | 6TH FLOOR | ||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900124112 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2139961343 | ||||||||
| FaxNumber: | 2139961350 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/13/2006 | ||||||||
| LastUpdateDate: | 02/20/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | LCS 17759 | CA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.