Provider Demographics
NPI:1578794798
Name:CARIAS, ELIZABETH ANN (CDS)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:ANN
Last Name:CARIAS
Suffix:
Gender:F
Credentials:CDS
Other - Prefix:MS
Other - First Name:LISA
Other - Middle Name:
Other - Last Name:CARIAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10145 SALOMA AVE
Mailing Address - Street 2:
Mailing Address - City:MISSION HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91345-2812
Mailing Address - Country:US
Mailing Address - Phone:818-800-7348
Mailing Address - Fax:
Practice Address - Street 1:520 WALL ST
Practice Address - Street 2:#414
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90013-2144
Practice Address - Country:US
Practice Address - Phone:213-537-0066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-05
Last Update Date:2009-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)