MEDICARE: IVANA LUISA LABUCKAS M.A., LMFT

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	MFT93659	CA

General Provider Information

NPI Number	:	1598996712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IVANA LUISA LABUCKAS M.A., LMFT

Provider Business Mailing Address
First Line	:	3401 S BENTLEY AVE APT 204
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-2063
Country	:	US
Telephone Number	:	310-266-2946
Fax Number	:

Provider Business Practice Location Address
First Line	:	3756 SANTA ROSALIA DR STE 424
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90008-3614
Country	:	US
Telephone Number	:	310-266-2946
Fax Number	:	323-596-3473

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

Provider Enumeration Date	:	08/05/2009
Last Update Date	:	03/22/2022

Similar Medicare Providers

1790903904 — CALIFORNIA HEALTH, ALCOHOL &. DRUG EDUCATION PROGRAM, INC.
Practice Location Address:

3756 SANTA ROSALIA DR. STE. 423
LOS ANGELES, CA
90008-3614

Practice Phone: 323-294-7662
Practice Fax: 323-294-7703

1265688923 — DR. JOSEPHINE CHI KANNIKE-MARTINS DPA, RD
Practice Location Address:

3756 SANTA ROSALIA DR STE 417
LOS ANGELES, CA
90008-3614

Practice Phone: 323-295-1136
Practice Fax: 323-295-1071

1740415132 — JOSHUA VILLALTA
Practice Location Address:

3756 SANTA ROSALIA DR STE 417
LOS ANGELES, CA
90008-3614

Practice Phone: 323-295-1136
Practice Fax: 323-295-1071

1396047049 — SANDRA VALENZUELA
Practice Location Address:

3756 SANTA ROSALIA DR STE 424
LOS ANGELES, CA
90008-3614

Practice Phone: 323-596-3147
Practice Fax: 323-596-3473

1639475734 — MR. ALFRED ESCOBAR JR.
Practice Location Address:

3756 SANTA ROSALIA DR STE 417
LOS ANGELES, CA
90008-3614

Practice Phone: 323-295-1136
Practice Fax:

1831469444 — DR. TERI DANIELLE DAVIS PHD
Practice Location Address:

3756 SANTA ROSALIA DR STE 420
LOS ANGELES, CA
90008-3614

Practice Phone: 424-646-3743
Practice Fax:

Directions to “ IVANA LUISA LABUCKAS M.A., LMFT” 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.