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General NPI Number Information
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NPI Number | 1013326594
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Entity Type | Individual
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Provider Name | JULIANNE FLORES LUCIA LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/08/2014
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Last Update Date | 02/13/2023
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Provider Practice Location Address
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Address Line | 1403 LOMITA BLVD FL 2
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City | HARBOR CITY
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State | CA
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Zip | 90710-2076
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Country | US
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Telephone | 310-602-2577
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Fax |
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Provider Business Mailing Address
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Address Line | 3257 POST ST UNIT A
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City | SOUTH GATE
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State | CA
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Zip | 90280-2319
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Country | US
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Telephone | 661-341-4794
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW 76323
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License Number State | CA
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