Healthcare Provider Details

I. General information

NPI: 1508713462
Provider Name (Legal Business Name): LANI ADVOKAT MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2026
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1622 MALTMAN AVE
LOS ANGELES CA
90026-1022
US

IV. Provider business mailing address

1622 MALTMAN AVE
LOS ANGELES CA
90026-1022
US

V. Phone/Fax

Practice location:
  • Phone: 860-930-2417
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number21827
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number161401
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: