Lat Bun
Individual provider Active NPI Mental Health Counselor · Lawndale, CA
NPI 1194991950 · NPPES record last updated May 1, 2008
Key facts
- NPI
- 1194991950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 16119 Prairie Ave
Lawndale, CA 90260-2744 - Phone
- (310) 542-4825
- NPI assigned
- May 1, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
16119 Prairie Ave
Lawndale, CA 90260-2744
Mailing address
2256 1/2 Gatewood St
Los Angeles, CA 90031-1234
Other providers in Lawndale, CA
- Carolyn Sophia Brown
- Gloria Mercedes Brucker
- Marsha N Budhan
- Van Tuong Thy Bui
- Keang Bun
- Guadalupe Heidi Cabral
- Veronica Cabrera
- California Occupational Medical Examiners Inc.
- Wendie Cantwell
- Daniel A Capen
All providers in Lawndale, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.