GUSTAVO MORA (NPI# 1437492352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437492352 |
| Entity Type | Individual |
| Full Name | GUSTAVO MORA |
| Practice Address |
14540 Hamlin St Ste I Van Nuys CA 91411-4154 |
| Mailing Address |
7225 Bakman Ave Apt 2 Sun Valley CA 91352-4906 |
| Practice Telephone | 8189976876 |
| Mailing Telephone | 8185031909 |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2013-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
14540 HAMLIN ST STE I |
| City | VAN NUYS |
| State | CA |
| Zip Code | 91411-4154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487275673 | Better Sober | Clinic/Center | 14540 Hamlin St Ste I, Van Nuys, CA 91411-4154 | 2020-04-29 |
| 1790151280 | Changing Steps Network Inc | Counselor | 14540 Hamlin St Ste I, Van Nuys, CA 91411-4154 | 2015-08-19 |
| 1760860993 | A New Solution | Counselor | 14540 Hamlin St Ste I, Van Nuys, CA 91411-4154 | 2015-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517085 | Full Heart Hospice and Palliative Care Inc | Hospice Care, Community Based | 14543 Friar Street, Ste. 102, Van Nuys, CA 91411 | 2020-10-29 |
| 1639632078 | Primary Care Homehealthcare Inc | Home Health | 14545 Friar Street, Suite 203-2, Van Nuys, CA 91411 | 2019-04-11 |
| 1639639800 | Jacklynne Marder | Counselor | 5900 Sepulveda Bld., Sherman Oaks, CA 91411 | 2019-03-22 |
| 1710478581 | Adriana Abraamyan | Rehabilitation Practitioner | 14515 Hamlin St Ste 103, Van Nuys, CA 91411 | 2018-05-28 |
| 1154820595 | Sls Home Health Inc. | Hospice Care, Community Based | 6411 Sepulveda Blvd Ste 1d, Van Nuys, CA 91411 | 2018-02-11 |
| 1376073197 | Age Well Congregate Living, Inc | Hospice Care, Community Based | 15149 Sylvan Street, Van Nuys, CA 91411 | 2017-06-14 |
| 1558809277 | Southern California Hepatobiliary Pancreatic and Robotic Surgery Ins | Surgery | 5805 Sepulveda Blvd Ste 690, Sherman Oaks, CA 91411 | 2017-02-01 |
| 1740732023 | Behavior Trend | Behavioral Analyst | 5658 Sepulveda Blvd Ste 200, Sherman Oaks, CA 91411 | 2016-11-02 |
| 1851764682 | Deft Solutions | Clinic/Center | 15128 Burbank Blvd, 210, Sberman Oaks, CA 91411 | 2015-11-02 |
| 1417332941 | Marianna Mirakyan | Behavioral Analyst | 14980 Victory Blvd #202, Van Nuys, CA 91411 | 2015-07-27 |
| Find all providers in zip 91411 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518507458 | Melisa M. Tablada | Counselor | 6721 Jellico Ave, Van Nuys, CA 91406-5320 | 2020-01-08 |
| 1376059915 | Erasmus John Knox | Counselor | 14757 Cohasset Street, Van Nuys, CA 91405-1802 | 2017-12-19 |
| 1730636515 | Pearl Pacheco | Counselor | 15803 Saticoy St Apt 30, Van Nuys, CA 91406-3132 | 2016-09-08 |
| 1104244359 | Samuel S. Usher | Counselor | 5724 Stansbury Ave, Van Nuys, CA 91401-2341 | 2014-04-04 |
| 1285050237 | Wm Cody White | Counselor | 15025 Saticoy St, #26, Van Nuys, CA 91405-1110 | 2014-03-14 |
| 1023447059 | Jose Bonilla | Counselor | 6265 Sepulveda, 9, Van Nuys, CA 91411 | 2013-11-12 |
| 1689913055 | Walter Jason Santos | Counselor | 6218 Atoll Ave, Van Nuys, CA 91401-2525 | 2013-02-05 |
| 1750632485 | Donna May Davis | Counselor | 14515 Hamlin St # 100, Van Nuys, CA 91411 | 2012-09-20 |
| 1669734646 | Erika Isela Gutierrez | Counselor | 14435 Hamlin St., Suite 102, Van Nuys, CA 91401 | 2012-06-14 |
| 1063716652 | Delton Rashaad Jones | Counselor | 17141 Sherman Way, Van Nuys, CA 91406-3618 | 2010-12-22 |
| Find all providers in VAN NUYS | ||||
Please comment or provide details below to improve the information on GUSTAVO MORA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.