Active NPI
Liliana Gudino
- Addiction (Substance Use Disorder) Counselor
- Lynwood, CA
National Provider Identifier
1194349670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 13491-R
- Practice address
- 11682 Atlantic Ave
Lynwood, CA 90262-3832 - Phone
- (310) 537-5883
- NPI assigned
- Jun 1, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 13491-R | CA | Primary |
Addresses
Primary practice location
11682 Atlantic Ave
Lynwood, CA 90262-3832
Mailing address
11682 Atlantic Ave
Lynwood, CA 90262-3832
Phone (310) 537-5883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13491-R | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590969600000",
"number": "1194349670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11682 ATLANTIC AVE",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902623832",
"telephone_number": "310-537-5883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11682 ATLANTIC AVE",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902623832",
"telephone_number": "310-537-5883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUDINO",
"first_name": "LILIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-01",
"last_updated": "2020-06-01",
"certification_date": "2020-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "13491-R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.