Provider Demographics
NPI:1477227452
Name:AGUIRRE, FELICIA DELIA
Entity Type:Individual
Prefix:
First Name:FELICIA
Middle Name:DELIA
Last Name:AGUIRRE
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 1:200 PINE AVENUE MENTAL HEALTH AMERICA LOS ANGELES
Mailing Address - Street 2:SUITE 400
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802
Mailing Address - Country:US
Mailing Address - Phone:562-285-1330
Mailing Address - Fax:562-263-3396
Practice Address - Street 1:200 PINE AVENUE MENTAL HEALTH AMERICA LOS ANGELES
Practice Address - Street 2:SUITE 400
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802
Practice Address - Country:US
Practice Address - Phone:562-285-1330
Practice Address - Fax:562-263-3396
Is Sole Proprietor?:No
Enumeration Date:2021-08-04
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator