Provider Demographics
NPI:1548545577
Name:NUNO, WENDY
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:NUNO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2726 BRIGHTON AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90018-3117
Mailing Address - Country:US
Mailing Address - Phone:323-449-4040
Mailing Address - Fax:213-652-4156
Practice Address - Street 1:4318 S MAIN ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90037-2712
Practice Address - Country:US
Practice Address - Phone:323-449-4040
Practice Address - Fax:213-652-4156
Is Sole Proprietor?:No
Enumeration Date:2011-10-21
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA117134106H00000X
106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist