Doctor Name: | DR. ANNALISA ANGELICA ALMENDRAS |
NPI Number: | 1023200805 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | PSY24413 |
Business Practice Address: | 1405 San Marino Ave Suite 102 San Marino, CA - 911082043 |
Business Phone Number: | 6267993869 |
Business Fax Number: | |
Mailing Address: | Po Box 49219, LOS ANGELES |
State: | CA |
Postal Code: | 900490219 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/15/2007 |
NPI Last Update Date: | 12/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY24413 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |