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NPI Code Detail

MEDICARE: ELIUD OSCAR BRIZUELA MS, LMFT

MEDICARE: ELIUD OSCAR BRIZUELA MS, LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorAPCC15054CA
2106H00000XMarriage & Family TherapistLMFT161490CA

General Provider Information

NPI Number : 1326815176
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIUD OSCAR BRIZUELA MS, LMFT
Provider Business Mailing Address
First Line : 1721 GRIFFIN AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90031-3312
Country : US
Telephone Number : 323-221-4134
Fax Number :
Provider Business Practice Location Address
First Line : 1721 GRIFFIN AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90031-3312
Country : US
Telephone Number : 323-221-4134
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2023
Last Update Date : 02/26/2026

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