Provider Demographics
NPI:1790113801
Name:ANULAO, LIZA BETH (MSW, ASW)
Entity Type:Individual
Prefix:
First Name:LIZA
Middle Name:BETH
Last Name:ANULAO
Suffix:
Gender:F
Credentials:MSW, ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11905 S CENTRAL AVE STE 303
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90059-2897
Mailing Address - Country:US
Mailing Address - Phone:213-364-1447
Mailing Address - Fax:
Practice Address - Street 1:11905 S CENTRAL AVE STE 303
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90059-2897
Practice Address - Country:US
Practice Address - Phone:213-364-1447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-29
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health