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Louie Shon Ulloa
Peer Specialist in Montebello, California
NPI 1154836120

Louie Shon Ulloa is a Peer Specialist based in Montebello, CA. Louie Shon Ulloa practices in Montebello, CA. The NPI Number for Louie Shon Ulloa is 1154836120 and holds a License No. (California).

The current practice location address for Louie Shon Ulloa is 3316 W Beverly Blvd, Montebello, CA and can be reached out via phone at 323-722-4529 and via fax at 323-722-4450.

Location: 3316 W Beverly Blvd, Montebello, CA, 90640-1537
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154836120
Provider Name
Louie Shon Ulloa
Credential
Provider Entity Type
Individual
Gender
Male
Address
3316 W Beverly Blvd, Montebello, CA, 90640-1537
Phone Number
323-722-4529
Fax Number
323-722-4450
Provider Enumeration Date
12/12/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3316 W Beverly Blvd
City
Montebello
State
California
Zip
90640-1537
Phone Number
323-722-4529
Fax Number
323-722-4450
person
Provider Business Mailing Address Details
Address
3316 W Beverly Blvd
City
Montebello
State
California
Zip
90640-1537
Phone Number
323-722-4529
Fax Number
323-722-4450
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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