ALEJANDRA T. DIAZ
NPI 1568079408
Counselor - Addiction (Substance Use Disorder) in Gardena, CA
Active since September 24, 2020
About Alejandra T. Diaz NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEJANDRA T. DIAZ (NPI 1568079408) is an individual addiction (substance use disorder) provider in Gardena, California, licensed in California (R1360810819) and active in the NPI registry since September 2020.
NPPES Registry Identity
NPI1568079408
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameALEJANDRA T. DIAZ
Location Address11519 CRENSHAW BLVDGardena, CA 90249
Mailing Address11046 Main StEl Monte, CA 91731-2617 · (626) 444-9000
Phone(310) 679-9126
Sole ProprietorYes
Enumeration DateSeptember 24, 2020
Last NPPES UpdateMay 24, 20212 updates tracked since enumeration
NPPES CertifiedMay 10, 2021
✔ NPI 1568079408 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · R1360810819
11519 CRENSHAW BLVD, Gardena, CA 90249
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568079408, enumerated as an "individual" on September 24, 2020.
The provider is located at 11519 CRENSHAW BLVD GARDENA, CA 90249 and the phone number is (310) 679-9126.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
