Provider Demographics
NPI:1235257023
Name:NUNEZ, ERNEST V (LCSW)
Entity Type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:V
Last Name:NUNEZ
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9800 S LA CIENEGA BLVD STE 310
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90301-4440
Mailing Address - Country:US
Mailing Address - Phone:310-410-9301
Mailing Address - Fax:310-410-1259
Practice Address - Street 1:9800 S LA CIENEGA BLVD STE 310
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-4440
Practice Address - Country:US
Practice Address - Phone:310-410-9301
Practice Address - Fax:310-410-1259
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA134201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical