Luz Y Sombra Llc | |
230 Bethany Rd Apt 138 Burbank CA 91504-4259 | |
(213) 507-8694 | |
Not Available |
Full Name | Luz Y Sombra Llc |
---|---|
Speciality | Social Worker |
Location | 230 Bethany Rd Apt 138, Burbank, California |
Authorized Official Name and Position | Rosana Alaniz (LCSW) |
Authorized Official Contact | 2135078694 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Luz Y Sombra Llc Po Box 667 Burbank CA 91503-0667 Ph: () - | Luz Y Sombra Llc 230 Bethany Rd Apt 138 Burbank CA 91504-4259 Ph: (213) 507-8694 |
NPI Number | 1316623143 |
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Provider Enumeration Date | 06/26/2023 |
Last Update Date | 06/26/2023 |
Certification Date | 06/26/2023 |
Medicare PECOS PAC ID | 4880058981 |
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Medicare Enrollment ID | O20230907002805 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316623143 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Rosana Coria Alaniz |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902353618 PECOS PAC ID: 8426444977 Enrollment ID: I20220408001380 |
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