Organization Active NPI

Gabriel Lanum Licensed Marriage & Family Therapy Inc

  • Marriage & Family Therapist
  • Redondo Beach, CA
National Provider Identifier
1295583821
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
GABRIEL LANUM LICENSED MARRIAGE & FAMILY THERAPY INC
Practice address
212 N Catalina Ave Apt a
Redondo Beach, CA 90277-2853
Phone
(424) 241-2838
NPI assigned
May 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Authorized official

Name
Gabriel Lanum, LMFTNPI 1629682505
Title
Owner
Phone
(424) 241-2838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

212 N Catalina Ave Apt a
Redondo Beach, CA 90277-2853

Mailing address

318 Avenue I Unit 859
Redondo Beach, CA 90277-5601
Phone (424) 241-2838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240725004755 CA Part B Supplier - Clinic/Group Practice 2365988342 Receives reassigned benefits from 1 practitioner
Practice locations: Redondo Beach, CA

National Provider Directory

National Provider Directory

Locations

318 Avenue I
Redondo Beach, CA 90277
Phone (310) 435-8427

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1295583821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 AVENUE I UNIT 859",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775601",
            "telephone_number": "424-241-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N CATALINA AVE APT A",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772853",
            "telephone_number": "424-241-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIEL LANUM LICENSED MARRIAGE & FAMILY THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "LANUM",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-241-2838",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.