Healthcare Provider Details

I. General information

NPI: 1700217254
Provider Name (Legal Business Name): MARIA LLAMAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2013
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 HILLTOP DR
CHULA VISTA CA
91911-5344
US

IV. Provider business mailing address

1540 HILLTOP DR
CHULA VISTA CA
91911-5344
US

V. Phone/Fax

Practice location:
  • Phone: 619-638-7670
  • Fax:
Mailing address:
  • Phone: 619-638-7670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS26226
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: