Provider Demographics
NPI:1487185328
Name:LARNER, KARLA MICHELLE
Entity Type:Individual
Prefix:MRS
First Name:KARLA
Middle Name:MICHELLE
Last Name:LARNER
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:KARLA
Other - Middle Name:MICHELLE
Other - Last Name:CRISTALES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5118 MARSHBURN AVE
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-5964
Mailing Address - Country:US
Mailing Address - Phone:818-730-6551
Mailing Address - Fax:
Practice Address - Street 1:11301 WILSHIRE BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90073-1003
Practice Address - Country:US
Practice Address - Phone:310-478-3711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-22
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW998501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical