MEDICARE: MARILIN LOUROKIS

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
1	106H00000X	Marriage & Family Therapist	IMF67150	CA
2	106H00000X	Marriage & Family Therapist	110312	CA

General Provider Information

NPI Number	:	1942575360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARILIN LOUROKIS

Provider Business Mailing Address
First Line	:	10155 COLIMA RD
Second Line	:
City	:	WHITTIER
State	:	CA
Zip	:	90603-2042
Country	:	US
Telephone Number	:	626-200-6275
Fax Number	:

Provider Business Practice Location Address
First Line	:	1250 E WALNUT ST STE 110
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91106-1877
Country	:	US
Telephone Number	:	626-376-5136
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2012
Last Update Date	:	11/19/2019

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Directions to “ MARILIN LOUROKIS ” Practice Location

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