MEDICARE: ESTRELLA BANUELOS

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1659032928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTRELLA BANUELOS

Provider Business Mailing Address
First Line	:	3217 CARSON ST # 1002
Second Line	:
City	:	LAKEWOOD
State	:	CA
Zip	:	90712-4006
Country	:	US
Telephone Number	:	562-794-7400
Fax Number	:

Provider Business Practice Location Address
First Line	:	3217 CARSON ST # 1002
Second Line	:
City	:	LAKEWOOD
State	:	CA
Zip	:	90712-4006
Country	:	US
Telephone Number	:	562-794-7400
Fax Number	:

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

Provider Enumeration Date	:	01/07/2022
Last Update Date	:	01/07/2022

Similar Medicare Providers

1275472748 — SHANELLE GONZALEZ
Practice Location Address:

3217 CARSON ST # 1002
LAKEWOOD, CA
90712-4006

Practice Phone: 323-792-2540
Practice Fax: 562-724-9887

1285581256 — CLAUDIA TYMINSKI
Practice Location Address:

3217 CARSON ST # 1002
LAKEWOOD, CA
90712-4006

Practice Phone: 323-792-2540
Practice Fax: 562-724-9887

1164838520 — LINDA TATIANA ESPINOZA
Practice Location Address:

3217 CARSON ST # 1163
LAKEWOOD, CA
90712-4006

Practice Phone: 562-245-9828
Practice Fax: 866-280-7964

1255597530 — AESTHETIC SMILE DENTAL CENTER
Practice Location Address:

3203 CARSON ST , SUITE # 2
LAKEWOOD, CA
90712-4006

Practice Phone: 562-496-1888
Practice Fax: 562-496-0688

1578071791 — JAVON MAY BCBA
Practice Location Address:

3217 CARSON ST # 1002
LAKEWOOD, CA
90712-4006

Practice Phone: 424-371-6537
Practice Fax:

1124599238 — MARTHA FERNANDEZ
Practice Location Address:

3217 CARSON ST
LAKEWOOD, CA
90712-4006

Practice Phone: 562-295-6650
Practice Fax:

Directions to “ ESTRELLA BANUELOS ” 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.