Active NPI
Gabriel Lanum Licensed Marriage & Family Therapy Inc
- Marriage & Family Therapist
- Redondo Beach, CA
National Provider Identifier
1295583821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gabriel Lanum, LMFT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Marriage & Family Therapist
- Redondo Beach, CA
- NPI 1629682505
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.