Basic Information
| Provider Information | |||||||||
| NPI: | 1831532399 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GARIBALDI | ||||||||
| FirstName: | GLADYS | ||||||||
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| Credential: | MSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 21732 S VERMONT AVE STE 210 | ||||||||
| Address2: | |||||||||
| City: | TORRANCE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 905022180 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3107813400 | ||||||||
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| Practice Location | |||||||||
| Address1: | 21732 S VERMONT AVE STE 210 | ||||||||
| Address2: | |||||||||
| City: | TORRANCE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 905022180 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3107813400 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/14/2013 | ||||||||
| LastUpdateDate: | 03/04/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 03/04/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 79382 | CA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.