Basic Information
| Provider Information | |||||||||
| NPI: | 1346379757 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALMADA | ||||||||
| FirstName: | NETTIE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6345 GREEN VALLEY CIR UNIT 118 | ||||||||
| Address2: | |||||||||
| City: | CULVER CITY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 902308045 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3106701025 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4211 AVALON BLVD | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900115622 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3234325185 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/02/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | 41996 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.