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NPI Code Detail

MEDICARE: CECELIA BUENO

MEDICARE: CECELIA BUENO
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 CounselorAPCC21428CA
2106H00000XMarriage & Family TherapistAMFT160368CA

General Provider Information

NPI Number : 1255273454
Entity Type Code : Individual
Provider Name (Legal Business Name) : CECELIA BUENO
Provider Business Mailing Address
First Line : 315 W 5TH ST APT 708
Second Line :
City : LOS ANGELES
State : CA
Zip : 90013-2530
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2301 BELLEVUE AVE FL 10
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-4017
Country : US
Telephone Number : 213-207-6561
Fax Number : 213-217-9987
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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Directions to “ CECELIA BUENO ” Practice Location

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