Provider Demographics
NPI:1528297165
Name:MURAD, LILIAN DEBBIE (MSW)
Entity type:Individual
Prefix:MS
First Name:LILIAN
Middle Name:DEBBIE
Last Name:MURAD
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3812 SEPULVEDA BLVD
Mailing Address - Street 2:SUITE 350
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-2413
Mailing Address - Country:US
Mailing Address - Phone:310-953-5169
Mailing Address - Fax:310-831-1569
Practice Address - Street 1:3812 SEPULVEDA BLVD
Practice Address - Street 2:SUITE 350
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-2413
Practice Address - Country:US
Practice Address - Phone:310-953-5169
Practice Address - Fax:424-772-1517
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-03
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA198881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALCS 19888OtherBOARD OF BEHAVIORAL SCIENCE EXAMINERS