Provider Demographics
NPI:1194919423
Name:NUNIZ, CLAUDIA (PSYCHOLOGY INTERN)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:NUNIZ
Suffix:
Gender:F
Credentials:PSYCHOLOGY INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 W REDONDO BEACH BLVD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90248-1612
Mailing Address - Country:US
Mailing Address - Phone:310-352-6422
Mailing Address - Fax:
Practice Address - Street 1:1429 S DUNSMUIR AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90019-4031
Practice Address - Country:US
Practice Address - Phone:323-717-1739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist