Provider Demographics
NPI:1669772851
Name:CORANO, PAULA
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:CORANO
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 1:19401 S. VERMONT AVE
Mailing Address - Street 2:SUITE A-200
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90502
Mailing Address - Country:US
Mailing Address - Phone:310-323-6887
Mailing Address - Fax:310-323-1570
Practice Address - Street 1:19401 S. VERMONT AVE
Practice Address - Street 2:SUITE A-200
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502
Practice Address - Country:US
Practice Address - Phone:310-323-6887
Practice Address - Fax:310-323-1570
Is Sole Proprietor?:No
Enumeration Date:2010-10-22
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CA83322106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health