Individual provider · Type 1 NPI

Ana Lesly Tavira-Nava

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1366093668 Active

Practice location

12021 S. Wilmington Ave., Bldg #18 Suite 101
Los Angeles, CA 90059

Call (424) 454-6001 Map

Fax (323) 722-4450

Mailing address

4139 Paramount Blvd, Space 19
Pico Rivera, CA 90660

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1366093668

Ana Lesly Tavira-Nava's National Provider Identifier is 1366093668, issued on Sep 27, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 26, 2025.