Healthcare Provider Details

I. General information

NPI: 1669772851
Provider Name (Legal Business Name): PAULA CORANO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2010
Last Update Date: 10/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19401 S. VERMONT AVE SUITE A-200
TORRANCE CA
90502
US

IV. Provider business mailing address

19401 S. VERMONT AVE SUITE A-200
TORRANCE CA
90502
US

V. Phone/Fax

Practice location:
  • Phone: 310-323-6887
  • Fax: 310-323-1570
Mailing address:
  • Phone: 310-323-6887
  • Fax: 310-323-1570

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 Code106H00000X
TaxonomyMarriage & Family Therapist
License Number83322
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: