Provider Demographics
NPI:1124186630
Name:PARON, GERARDO HUGO (MFT)
Entity Type:Individual
Prefix:MR
First Name:GERARDO
Middle Name:HUGO
Last Name:PARON
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3171 LOS FELIZ BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90039-1536
Mailing Address - Country:US
Mailing Address - Phone:323-666-6871
Mailing Address - Fax:323-953-8791
Practice Address - Street 1:3171 LOS FELIZ BLVD STE 200
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90039-1536
Practice Address - Country:US
Practice Address - Phone:323-666-6871
Practice Address - Fax:323-953-8791
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34209101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA43-2051797OtherANHTEM BLUE CROSS
CA43-2051797OtherANTHEM BLUE CROSS
CA43-2051797OtherBLUE SHIELD