Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | IMF61856 | CA |
Y | 225400000X | Rehabilitation Practitioner |
NPI | 1043497282 |
---|---|
Provider Name | Ana Elena Aldana |
First Address | Mission Hills, CA 91345 |
Second Address | Mission Hills, CA 91345 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2008 |
Last Update Date | 01/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7184 | MEDICAL (01) | CA |
7368 | MEDICAL (01) | CA |
7667 | MEDICAL (01) | CA |
7708 | MEDICAL (01) | CA |