Provider Demographics
NPI:1053960070
Name:ANGUIANO, LILIANA (MED)
Entity type:Individual
Prefix:
First Name:LILIANA
Middle Name:
Last Name:ANGUIANO
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14350 BEAVER ST
Mailing Address - Street 2:
Mailing Address - City:SYLMAR
Mailing Address - State:CA
Mailing Address - Zip Code:91342-5109
Mailing Address - Country:US
Mailing Address - Phone:818-383-0389
Mailing Address - Fax:
Practice Address - Street 1:9201 OAKDALE AVE
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-6542
Practice Address - Country:US
Practice Address - Phone:818-401-0661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-11
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst