Healthcare Provider Details

I. General information

NPI: 1245134600
Provider Name (Legal Business Name): LUCIA XYTLALI INIGUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10470 TELFAIR AVE
PACOIMA CA
91331-3155
US

IV. Provider business mailing address

10470 TELFAIR AVE
PACOIMA CA
91331-3155
US

V. Phone/Fax

Practice location:
  • Phone: 818-966-5679
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: