AUGUSTINE PROVENCIO MS
NPI 1629810270
Psychologist in Los Angeles, CA
About Augustine Provencio Ms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUGUSTINE PROVENCIO MS (NPI 1629810270) is an individual psychologist in Los Angeles, California and active in the NPI registry since June 2024.
NPPES Registry Identity
Specialties & Licenses 2
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Augustine Provencio's NPI number?
The NPI number for Augustine Provencio is 1629810270. It was assigned to this individual provider in the NPPES registry on June 12, 2024.
Where is Augustine Provencio located?
Augustine Provencio practices at 4650 W Sunset Blvd # 53, Los Angeles, CA 90027. The listed phone number is (323) 361-3849.
What is Augustine Provencio's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
When was this NPI record last updated?
The NPPES record for Augustine Provencio was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.