SAHARA LUTZ


Address: 1721 E.120 Street, Trailer # 6, Los Angeles, CA 90059
Phone: 3106688311

SAHARA LUTZ (NPI# 1467583377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467583377
Entity Type Individual
Full Name SAHARA LUTZ
Practice Address 1721 E.120 Street
Trailer # 6
Los Angeles
CA 90059
Mailing Address 1721 E.120th Street
Trailer # 6
Los Angeles
CA 90059
Practice Telephone 3106688311
Practice Fax Number 3106683458
Mailing Telephone 3106688311
Mailing Fax Number 3106683458
Enumeration Date 2007-03-09
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 1721 E.120 STREET
TRAILER # 6
City LOS ANGELES
State CA
Zip Code 90059

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NPI Name Taxonomy Address Enumeration
1235759788 Juan Jimenez Jr. Technician, Pathology 1860 E 120th St, Los Angeles, CA 90059 2020-04-24
1538717780 Donald O Nwanze Pharmacist Mlk Outpatient Center (pharmacy), 1670 East 120th Street, Los Angeles, CA 90059 2019-08-30
1295391050 Sheela Hoyle Counselor 836 East Saucer Lane, Los Angeles, CA 90059 2019-05-16
1750852471 Carlos Tovar Sr. Community Health Worker 1720 E 120st, Los Angeles, CA 90059 2018-12-06
1699293910 Amy Caryn Bolenbaugh Recreation Therapist 1720 E 120th Street, Los Angeles, CA 90059 2017-09-07
1417475757 Scott Lee Jones Recreation Therapist Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 2017-09-07
1881118859 Darlene Renee Tillman Speech-Language Pathologist 1670 E 120th Strret, Los Angeles, CA 90059 2017-08-01
1609306430 Valda Therese Flores Registered Nurse 1670 E. 120th Street, Los Angeles, CA 90059 2017-06-14
1093244006 Bongsill Chung Registered Nurse 1670 East 120th St, Los Angeles, CA 90059 2017-06-05
1730573395 Apollonia Godoy Registered Nurse 1670 E. 120th St, 4th Floor, Module A, Los Angeles, CA 90059 2015-03-22
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1841800190 Daniela Sanchez Counselor 5081 Borland Rd, Los Angeles, CA 90032-3950 2020-08-02
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1366060659 Amy H Kim Counselor 2152 Lemoyne St, Los Angeles, CA 90026-1950 2020-07-13
1083231435 Leslie Gluck Counselor 11835 W Olympic Blvd Ste 815, Los Angeles, CA 90064-5056 2020-07-01
1104441112 Barbara R Ponse Counselor 655 S Dunsmuir Ave Apt 201, Los Angeles, CA 90036-4087 2020-06-15
1033734264 Shelley Baird Smith Counselor 265 S St Andrews Pl, Los Angeles, CA 90004-5029 2020-06-12
1801411566 Tyler Grant Daly Counselor 4221 Wilshire Blvd # 290, Los Angeles, CA 90010-3512 2020-06-09
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Competitor

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City LOS ANGELES
Zip Code 90059

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Dataset Information

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.

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