Individual provider · Type 1 NPI

Roberto Carmona-Vergara, ASW

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1003746652 Active

Practice location

11301 Wilshire Blvd
Los Angeles, CA 90073-1003

Mailing address

4138 Walnut St
Baldwin Park, CA 91706-2907

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XASW132473 (CA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003746652

Roberto Carmona-Vergara, ASW's National Provider Identifier is 1003746652, issued on May 22, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 16, 2026.