Provider Demographics
NPI:1275772253
Name:OSORIO, LUZ M
Entity Type:Individual
Prefix:MS
First Name:LUZ
Middle Name:M
Last Name:OSORIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 922
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90057-4314
Mailing Address - Country:US
Mailing Address - Phone:213-487-9800
Mailing Address - Fax:213-487-9801
Practice Address - Street 1:2500 WILSHIRE BLVD
Practice Address - Street 2:SUITE 922
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90057-4314
Practice Address - Country:US
Practice Address - Phone:213-487-9800
Practice Address - Fax:213-487-9801
Is Sole Proprietor?:No
Enumeration Date:2009-02-13
Last Update Date:2009-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)