MEDICARE: LAURA RENE BASTIANELLI RN

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1457506271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA RENE BASTIANELLI RN

Provider Business Mailing Address
First Line	:	450 BAUCHET ST
Second Line	:	M4127
City	:	LOS ANGELES
State	:	CA
Zip	:	90012-2907
Country	:	US
Telephone Number	:	213-974-8067
Fax Number	:	213-346-9815

Provider Business Practice Location Address
First Line	:	441 BAUCHET ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90012-2906
Country	:	US
Telephone Number	:	213-974-8067
Fax Number	:	213-346-9815

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

Provider Enumeration Date	:	11/20/2008
Last Update Date	:	11/20/2008

Similar Medicare Providers

1043432347 — COUNTY OF LOS ANGELES
Practice Location Address:

441 BAUCHET ST, ROOM 6118
LOS ANGELES, CA
90012-2906

Practice Phone: 213-893-5566
Practice Fax: 213-893-5494

1770777278 — JACLYN SAGUN PH.D.
Practice Location Address:

451 BAUCHET ST
LOS ANGELES, CA
90012-2906

Practice Phone: 310-562-5683
Practice Fax:

1992956387 — MS. KATHERINE L. PLAMBECK
Practice Location Address:

441 BAUCHET ST , LOS ANGELES
LOS ANGELES, CA
90012-2906

Practice Phone: 213-473-6100
Practice Fax:

1720233547 — MS. YEEHANG EVON CHOW LCSW
Practice Location Address:

450 BAUCHET ST. , MENTAL HEALTH DEPARTMENT
LOS ANGELES, CA
90012-2906

Practice Phone: 213-473-1733
Practice Fax: 213-972-4002

1306170733 — ERICA GOMEZ
Practice Location Address:

441 BAUCHET ST
LOS ANGELES, CA
90012-2906

Practice Phone: 213-893-5465
Practice Fax:

1467752063 — RICARDO RUIZ R.N
Practice Location Address:

441 BAUCHET ST
LOS ANGELES, CA
90012-2906

Practice Phone: 213-974-8066
Practice Fax:

Directions to “ LAURA RENE BASTIANELLI RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.