Healthcare Provider Details

I. General information

NPI: 1104570993
Provider Name (Legal Business Name): LAURA ISABEL PARRA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/09/2022
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W CARSON ST BOX 413
TORRANCE CA
90502-2910
US

IV. Provider business mailing address

1000 W CARSON ST BOX 413
TORRANCE CA
90502-2910
US

V. Phone/Fax

Practice location:
  • Phone: 424-306-4420
  • Fax:
Mailing address:
  • Phone: 424-306-4420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number109029
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: