Healthcare Provider Details

I. General information

NPI: 1952004764
Provider Name (Legal Business Name): ADELITA SARAI ORELLANA LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2023
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5050 EAGLE ROCK BLVD
EAGLE ROCK CA
90041-1924
US

IV. Provider business mailing address

PO BOX 27726
LOS ANGELES CA
90027-0726
US

V. Phone/Fax

Practice location:
  • Phone: 213-423-3209
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number163779
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: