Healthcare Provider Details

I. General information

NPI: 1508116393
Provider Name (Legal Business Name): EFREN URBINA LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2012
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14659 OLIVE VIEW DR
SYLMAR CA
91342-1652
US

IV. Provider business mailing address

14659 OLIVE VIEW DR
SYLMAR CA
91342-1652
US

V. Phone/Fax

Practice location:
  • Phone: 818-798-3532
  • Fax:
Mailing address:
  • Phone: 818-798-3532
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number91014
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: