STACEY URAUCHI


Address: 900 Avila St, Ste 102, Los Angeles, CA 90012-4287
Phone: 2132290985

STACEY URAUCHI (NPI# 1538601828) 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) 1538601828
Entity Type Individual
Full Name STACEY URAUCHI
Practice Address 900 Avila St
Ste 102
Los Angeles
CA 90012-4287
Practice Telephone 2132290985
Practice Fax Number 2132290986
Mailing Telephone 2132290985
Mailing Fax Number 2132290986
Enumeration Date 2016-11-17
Last Update Date 2016-11-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
R1235281016 CA Behavioral Health & Social Service Providers

Office Location

Street Address 900 AVILA ST
STE 102
City LOS ANGELES
State CA
Zip Code 90012-4287

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568911014 Maria Ueligitone Counselor 900 Avila St, Suite 301, Los Angeles, CA 90012-4287 2016-09-26
1982147401 Jacob Davis Counselor 900 Avila St, Los Angeles, CA 90012-4287 2016-12-01
1235681347 Neha Saxena Counselor 900 Avila St, Los Angeles, CA 90012-4287 2016-10-25
1922558436 Christopher Freeman Counselor 900 Avila St, Los Angeles, CA 90012-4287 2016-10-07
1588114292 John C Fabian Counselor 900 Avila St, Los Angeles, CA 90012-4287 2016-10-05

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1033667662 Olga Witrago Case Manager/Care Coordinator 701 W Cersar Chavez Suite 201, Los Angeles, CA 90012 2016-09-12
1902269962 Samantha Martinez Licensed Practical Nurse 701 West Cesar Chavez Av, Los Angeles, CA 90012 2016-03-29
1760847313 Maria Emilia Manosa Rosales Social Worker 701 W. Cesar Chavez Ave., Los Angeles, CA 90012 2015-12-28
1609242999 Hilary Adams Psychologist 250 E 1st St Ste 300, Los Angeles, CA 90012 2015-08-20
1831586288 Thanh Ngoc Nguyen Trinh Nurse Practitioner 180 N Los Angeles St, Los Angeles, CA 90012 2015-04-23
1760880827 Bertha Regina Garcia Licensed Vocational Nurse 701 W. Cesar E. Chavez Ave Suite201, Los Angeles, CA 90012 2014-12-05
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1578179941 Leo Vasquezawarez Counselor 470 E 3rd St # Ab, Los Angeles, CA 90013-1629 2020-09-21
1801401963 Manuel Gambino Counselor 11301 Wilshire Blvd Bldg 337, Los Angeles, CA 90073-1003 2020-09-14
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Competitor

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City LOS ANGELES
Zip Code 90012

Improve Information

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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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