Basic Information
| Provider Information | |||||||||
| NPI: | 1699226084 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | UMANA COBAR | ||||||||
| FirstName: | EDUARDO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8019 S COMPTON AVE | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 90001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3235867333 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3200 E GUASTI RD STE 100 | ||||||||
| Address2: | |||||||||
| City: | ONTARIO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917618661 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9092484412 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/20/2016 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/27/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 77903 | CA | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 1041C0700X | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.