Basic Information
| Provider Information | |||||||||
| NPI: | 1316404833 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | IPINA | ||||||||
| FirstName: | ALEJANDRA | ||||||||
| MiddleName: | KENIA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2345 S ATLANTIC BLVD # 1035 | ||||||||
| Address2: | |||||||||
| City: | MONTEREY PARK | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917546805 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6264962800 | ||||||||
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| Practice Location | |||||||||
| Address1: | 849 E 6TH ST | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900211026 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2136238446 | ||||||||
| FaxNumber: | 2138961880 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/21/2019 | ||||||||
| LastUpdateDate: | 03/29/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/29/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | 127755 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.