Doctor Name: | RITA ALBA |
NPI Number: | 1023205564 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 11321 Camarillo St North Hollywood, CA - 916021216 |
Business Phone Number: | 8185064455 |
Business Fax Number: | 8185065185 |
Mailing Address: | 11321 Camarillo St, NORTH HOLLYWOOD |
State: | CA |
Postal Code: | 916021216 |
Phone Number: | 8185064455 |
Fax Number: | 8185065185 |
NPI Enumeration Date: | 09/28/2007 |
NPI Last Update Date: | 09/28/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |