Healthcare Provider Details

I. General information

NPI: 1033546510
Provider Name (Legal Business Name): LILLIAN LLAMAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2013
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

318 N IMPERIAL AVE
IMPERIAL CA
92251-1267
US

IV. Provider business mailing address

202 N 8TH ST
EL CENTRO CA
92243-2302
US

V. Phone/Fax

Practice location:
  • Phone: 760-482-4000
  • Fax:
Mailing address:
  • Phone: 760-482-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-89558
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: