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

Jennifer Miyamoto

Individual provider Clinical Social Worker · NPI 1083731459

Jennifer Miyamoto is a Clinical Social Worker in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

4211 Avalon Blvd
Los Angeles, CA 90011-5622
Phone: (323) 432-5185
Fax: (323) 432-5086
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 26558 (CA)

Record details

NPI number1083731459
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 23, 2007
Last updated in NPPESNovember 10, 2011

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