Provider Demographics
NPI:1013135631
Name:ALUGBUE, MARIA N
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:N
Last Name:ALUGBUE
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 1:12818 DOTY AVE
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-5404
Mailing Address - Country:US
Mailing Address - Phone:310-901-1089
Mailing Address - Fax:
Practice Address - Street 1:10501 S WESTERN AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90047-4458
Practice Address - Country:US
Practice Address - Phone:323-777-4227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)