Provider Demographics
NPI:1104958883
Name:ESTRADA, LOURDES PAOLA (MA)
Entity type:Individual
Prefix:MS
First Name:LOURDES
Middle Name:PAOLA
Last Name:ESTRADA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11455 PARAMOUNT BLVD STE F
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-4550
Mailing Address - Country:US
Mailing Address - Phone:562-273-2135
Mailing Address - Fax:866-249-8571
Practice Address - Street 1:11455 PARAMOUNT BLVD STE F
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-4550
Practice Address - Country:US
Practice Address - Phone:562-273-2135
Practice Address - Fax:866-249-8571
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist