Healthcare Provider Details

I. General information

NPI: 1003740382
Provider Name (Legal Business Name): NORTHSTAR HEALING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3998 INLAND EMPIRE BLVD STE 200
ONTARIO CA
91764-5033
US

IV. Provider business mailing address

3998 INLAND EMPIRE BLVD STE 200
ONTARIO CA
91764-5033
US

V. Phone/Fax

Practice location:
  • Phone: 323-348-8225
  • Fax:
Mailing address:
  • Phone: 323-348-8225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. LAURA ANN FIERRO
Title or Position: CEO
Credential: PHD, LMFT
Phone: 323-348-8225