Provider Demographics
NPI:1316348436
Name:VIRAMONTES, SABRINA N
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:N
Last Name:VIRAMONTES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10926 HERMES ST
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-7513
Mailing Address - Country:US
Mailing Address - Phone:562-309-5030
Mailing Address - Fax:
Practice Address - Street 1:4320 EAGLE ROCK BLVD FL SUITE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90041-3211
Practice Address - Country:US
Practice Address - Phone:323-897-1018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-08
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW102525101YM0800X
CAASW66945101YM0800X, 1041C0700X
CALCSW1060661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health