Provider Demographics
NPI:1376883132
Name:FIGUEROA, LUIS EDUARDO (MS, LMFT, CHT)
Entity Type:Individual
Prefix:MR
First Name:LUIS
Middle Name:EDUARDO
Last Name:FIGUEROA
Suffix:
Gender:M
Credentials:MS, LMFT, CHT
Other - Prefix:
Other - First Name:LOU
Other - Middle Name:
Other - Last Name:FIGUEROA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, LMFT, CHT
Mailing Address - Street 1:642 14TH ST
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-4839
Mailing Address - Country:US
Mailing Address - Phone:310-729-8118
Mailing Address - Fax:
Practice Address - Street 1:642 14TH ST
Practice Address - Street 2:
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266-4839
Practice Address - Country:US
Practice Address - Phone:310-729-8118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-15
Last Update Date:2017-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA91057171M00000X, 106H00000X, 225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner