Mr Gustavo Lucas Preciado, is a
Social Worker - Clinical based in Los Angeles, California. Mr Gustavo Lucas Preciado is licensed to practice in California (license number 97393) and his current practice location is
4401 Crenshaw Blvd, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(323) 290-8360.
NPI number for Mr Gustavo Lucas Preciado is 1922479807 and his current mailing address is 3031 S Vermont Ave, Los Angeles, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922479807.
Healthcare Provider's Profile
Full Name | Mr Gustavo Lucas Preciado |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 4401 Crenshaw Blvd, Los Angeles, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922479807
- Provider Enumeration Date: 10/17/2015
- Last Update Date: 06/20/2023
Medical Identifiers
Medical identifiers for Mr Gustavo Lucas Preciado such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922479807 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 97393 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 97393 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Gustavo Lucas Preciado is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Gustavo Lucas Preciado, 3031 S Vermont Ave, Los Angeles, CA 90007-3033 Ph: (323) 373-2400 | Mr Gustavo Lucas Preciado, 4401 Crenshaw Blvd, Los Angeles, CA 90043-1227 Ph: (323) 290-8360 |
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