Individual provider · Type 1 NPI

Marissa Lee Lubag

Peer Specialist · Los Angeles, CA

NPI number 1003513557 Active

Practice location

840 N Avenue 66
Los Angeles, CA 90042-1508

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-CJMDEX (CA)
Case Manager/Care Coordinator 171M00000XNone listed
Community Health Worker 172V00000XNone listed

Peer Specialist: 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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About NPI 1003513557

Marissa Lee Lubag's National Provider Identifier is 1003513557, issued on Feb 14, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 5, 2026.