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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. MIRYAM DUQUE
NPI 1164073672
Rehabilitation Practitioner in Los Angeles, CA

Active since September 25, 2019
11601 S WESTERN AVE, LOS ANGELES, CA 90047(323) 242-5000 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 19, 2026, Nov 25, 2020, Sep 25, 2019 (3 updates tracked since 2019).

About Mrs. Miryam Duque NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MIRYAM DUQUE (NPI 1164073672) is an individual rehabilitation practitioner in Los Angeles, California and active in the NPI registry since September 2019. She maintains a secondary practice location in Cerritos.

NPPES Registry Identity

NPI1164073672
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameMRS. MIRYAM DUQUE
Location Address11601 S WESTERN AVELos Angeles, CA 90047-5006
Mailing Address11601 S Western AveLos Angeles, CA 90047-5006 · (323) 242-5000
Phone(323) 242-5000
Sole ProprietorNo
Enumeration DateSeptember 25, 2019
Last NPPES UpdateAugust 19, 20263 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
✔ NPI 1164073672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 95434 (CA)
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
11601 S WESTERN AVE, Los Angeles, CA 90047
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Secondary Practice Location 1

Location 117707 Studebaker Rd # 208Cerritos, CA 90703-2640 · Phone (714) 654-8660

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARMEN BRAMASCO
Student in an Organized Health Care Education/Training Program
11601 S WESTERN AVE
LOS ANGELES, CA 90047
Los Angeles County (323) 242-5000
MARGARET JOHNSON BROWN
Rehabilitation Practitioner
11601 S WESTERN AVE
LOS ANGELES, CA 90047
Los Angeles County (323) 242-5000
MANDEE ASHLEIGH DURAN MA
Marriage & Family Therapist
11601 S WESTERN AVE
LOS ANGELES, CA 90047
Los Angeles County (323) 240-5000
EDITH CAMPOS
Counselor (Mental Health)
11601 S WESTERN AVE
LOS ANGELES, CA 90047
Los Angeles County (323) 242-5000
IDELLE CARMONA
Day Training/Habilitation Specialist
11601 S WESTERN AVE
LOS ANGELES, CA 90047
Los Angeles County (323) 242-5000
JASON SODENKAMP
Counselor (Addiction (Substance Use Disorder))
11601 S WESTERN AVE
LOS ANGELES, CA 90047
Los Angeles County (323) 242-5000
MICHAEL WAYNE BRAY
Student in an Organized Health Care Education/Training Program
11601 S WESTERN AVE
LOS ANGELES, CA 90047
Los Angeles County (323) 242-5000
DESIREE GONZALEZ
Student in an Organized Health Care Education/Training Program
11601 S WESTERN AVE
LOS ANGELES, CA 90047
Los Angeles County (323) 242-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miryam Duque's NPI number?

The NPI number for Miryam Duque is 1164073672. It was assigned to this individual provider in the NPPES registry on September 25, 2019.

Where is Miryam Duque located?

Miryam Duque practices at 11601 S Western Ave, Los Angeles, CA 90047. The listed phone number is (323) 242-5000.

What is Miryam Duque's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Miryam Duque was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.