MEDICARE: HAZEL LUGARTOS

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	RT1444660526	CA

General Provider Information

NPI Number	:	1902737877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAZEL LUGARTOS

Provider Business Mailing Address
First Line	:	14530 SYLVAN ST
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91411-2324
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	20331 FLANAGAN ROAD
Second Line	:
City	:	TRABUCO CANYON
State	:	CA
Zip	:	92679
Country	:	US
Telephone Number	:	818-582-8832
Fax Number	:	818-582-8836

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

Provider Enumeration Date	:	05/28/2026
Last Update Date	:	06/04/2026

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Directions to “ HAZEL LUGARTOS ” Practice Location

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