Most Relevant Information
Provider Data
| NPI Number: | 1003461088 |
| Provider Name: | LAURA GURROLA |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/06/2019 |
| Last Updated: | 08/06/2019 |
Provider Practice Location
12450 VAN NUYS BLVD STE 200
PACOIMA
CA
913311393
Practice Location Phone/Fax
| Phone: | 8188961161 |
| Fax: | 8188965069 |
Provider Mailing Location
12450 VAN NUYS BLVD STE 200
PACOIMA
CA
913311393
Provider Mailing Phone/Fax
| Phone: | 8188961161 |
| Fax: | 8188965069 |