Provider Demographics
NPI:1518086834
Name:MULTICULTURAL COUNSELING SERVICE CENTER, INC.
Entity Type:Organization
Organization Name:MULTICULTURAL COUNSELING SERVICE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:V
Authorized Official - Last Name:NUNEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, LCSW
Authorized Official - Phone:310-410-9301
Mailing Address - Street 1:9800 S LA CIENEGA BLVD
Mailing Address - Street 2:STE. 310
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
Practice Address - Street 2:STE. 310
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13420251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health