Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ivy Grace Bas Duenas

Individual provider Community Health Worker · NPI 1336662501

Ivy Grace Bas Duenas is a Community Health Worker in Los Angeles, California. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
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Practice location Address checks out

11080 W Olympic Blvd
Los Angeles, CA 90064-1937
Phone: (310) 966-6600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1336662501
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 19, 2017
Last updated in NPPESJune 8, 2023
Certification dateJune 8, 2023

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