Provider Demographics
NPI:1982455341
Name:WARE, KALI RIMA MCGURK (ACSW)
Entity Type:Individual
Prefix:MS
First Name:KALI
Middle Name:RIMA MCGURK
Last Name:WARE
Suffix:
Gender:F
Credentials:ACSW
Other - Prefix:
Other - First Name:KEWAL
Other - Middle Name:
Other - Last Name:KHALSA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ACSW
Mailing Address - Street 1:345 S SAN PEDRO ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90013-1633
Mailing Address - Country:US
Mailing Address - Phone:213-718-9566
Mailing Address - Fax:
Practice Address - Street 1:345 S SAN PEDRO ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90013-1633
Practice Address - Country:US
Practice Address - Phone:213-718-9566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1106581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical