Individual
AGUSTIN URBIETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2436 WABASH AVE, LOS ANGELES, CA 90033-2510
(323) 780-8756
Mailing address
2436 WABASH AVE, LOS ANGELES, CA 90033-2510
(323) 780-8756
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
09/26/2019
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