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

Marco Augusto Banuelos Sr.

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1265942759

Marco Augusto Banuelos Sr. is an Addiction (Substance Use Disorder) Counselor in Los Angeles, California. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

2010 Lincoln Park Ave
Los Angeles, CA 90031-3119
Phone: (323) 222-1440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1265942759
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 10, 2017
Last updated in NPPESOctober 10, 2017

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