Provider Demographics
NPI:1366072043
Name:LAPETINO, LINDA
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:LAPETINO
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 1:3751 MOTOR AVE UNIT 341552
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034-8076
Mailing Address - Country:US
Mailing Address - Phone:103-430-8638
Mailing Address - Fax:
Practice Address - Street 1:3751 MOTOR AVE UNIT 341552
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90034-8076
Practice Address - Country:US
Practice Address - Phone:103-430-8638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-22
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT150254101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health