Doctor Name: | LORENA E. AYNALEM |
NPI Number: | 1073829768 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 3617 |
Business Practice Address: | 12450 Van Nuys Blvd #200 Pacoima, CA - 913311391 |
Business Phone Number: | 8188961162 |
Business Fax Number: | |
Mailing Address: | 12450 Van Nuys Blvd, #200 PACOIMA |
State: | CA |
Postal Code: | 913311391 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/19/2010 |
NPI Last Update Date: | 04/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 3617 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | HI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |