Organization Active NPI

MLSL, Incorporated

  • Psychiatry Physician
  • West Covina, CA
National Provider Identifier
1013944313
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A80090 Issued in CA
Legal business name
MLSL, INCORPORATED
Practice address
933 S Sunset Ave
Suite 105
West Covina, CA 91790-3410
Phone
(626) 813-1222
Fax
(626) 813-1221
NPI assigned
Jun 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Maria Lucila Sison Llanes, MD
Title
President
Phone
(626) 813-1222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X A80090 CA Primary

Addresses

Primary practice location

933 S Sunset Ave
Suite 105
West Covina, CA 91790-3410

Mailing address

933 S Sunset Ave
Suite 105
West Covina, CA 91790-3410
Phone (626) 813-1222

Other identifiers 1

IdentifierTypeStateIssuer
00A800900MedicaidCA

National Provider Directory

National Provider Directory

Locations

1515 W Cameron Ave
Ste 2
West Covina, CA 91790
Phone (626) 814-0500

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1013944313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 S SUNSET AVE",
            "address_2": "SUITE 105",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903410",
            "telephone_number": "626-813-1222",
            "fax_number": "626-813-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 S SUNSET AVE",
            "address_2": "SUITE 105",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903410",
            "telephone_number": "626-813-1222",
            "fax_number": "626-813-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLSL, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "LLANES",
        "authorized_official_first_name": "MARIA LUCILA",
        "authorized_official_middle_name": "SISON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-813-1222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A80090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A800900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.