MEDICARE: JULISA LENDO MFT

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
1	106H00000X	Marriage & Family Therapist	LMFT42964	CA
2	106H00000X	Marriage & Family Therapist	MFC42964	CA
3	106H00000X	Marriage & Family Therapist	5259-R	NV

General Provider Information

NPI Number	:	1396876652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULISA LENDO MFT

Provider Business Mailing Address
First Line	:	2355 WESTWOOD BLVD # 676
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-2109
Country	:	US
Telephone Number	:	562-309-5352
Fax Number	:

Provider Business Practice Location Address
First Line	:	2355 WESTWOOD BLVD # 676
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-2109
Country	:	US
Telephone Number	:	562-309-5352
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	05/28/2026

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Directions to “ JULISA LENDO MFT” Practice Location

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