NPI 1003513557

Marissa Lee Lubag

Practitioner Peer Specialist Los Angeles, CA

Practice location

Address: 840 N Avenue 66, Los Angeles, CA 90042-1508
Phone: (626) 395-7100

Registered specialties (3)

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence MPSS-CJMDEX (CA)

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Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X

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Community Health Worker

Other Service Providers Taxonomy 172V00000X

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Registry record

NPI: 1003513557
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Feb 2023
Record last updated: 5 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.