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NPI Code Detail

MEDICARE: LEA COLLINS

MEDICARE: LEA COLLINS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor13252CA

General Provider Information

NPI Number : 1154156008
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEA COLLINS
Provider Business Mailing Address
First Line : 2116 ARLINGTON AVE STE 100
Second Line :
City : LOS ANGELES
State : CA
Zip : 90018-1300
Country : US
Telephone Number : 323-334-9000
Fax Number :
Provider Business Practice Location Address
First Line : 2116 ARLINGTON AVE STE 100
Second Line :
City : LOS ANGELES
State : CA
Zip : 90018-1300
Country : US
Telephone Number : 323-334-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2024
Last Update Date : 04/08/2026

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Directions to “ LEA COLLINS ” Practice Location

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