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

Jennifer Diaz Axomulco

Individual provider Clinical Social Worker · NPI 1699513432

Jennifer Diaz Axomulco is a Clinical Social Worker in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

3850 Crenshaw Blvd
Los Angeles, CA 90008-1821
Phone: (323) 593-5300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 124591 (CA)

Record details

NPI number1699513432
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 16, 2024
Last updated in NPPESAugust 2, 2024
Certification dateAugust 2, 2024

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