Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1041C0700X | Clinical Social Worker | LCS 27744 | CA |
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1184993602 |
---|---|
Provider Name | Mr. Erwin S Munoz |
First Address | Pasadena, CA 91101-1403 |
Second Address | Pasadena, CA 91101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2011 |
Last Update Date | 19/07/2018 |