Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Izaura Sofia Avitia, ASW104305

Individual provider Mental Health Counselor · NPI 1760034904

Izaura Sofia Avitia, ASW104305 is a Mental Health Counselor in Los Angeles, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
Specialties on file
4

Practice location Address checks out

155 N Occidental Blvd
Los Angeles, CA 90026-4641
Phone: (213) 281-2931
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 104305 (CA)
Mental Health Counselor Taxonomy 101YM0800X
Case Manager/Care Coordinator Taxonomy 171M00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1760034904
Entity typeIndividual (Type 1)
GenderFemale
Credentials ASW104305
Sole proprietorNo
NPI enumeratedJuly 9, 2019
Last updated in NPPESOctober 7, 2021
Certification dateOctober 7, 2021

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