| Alba Wellness Group, A Licensed Clinical Social Worker Corporation | |
|
14500 Roscoe Blvd Ste 400 Panorama City CA 91402-4194 | |
| (818) 406-8543 | |
| Not Available |
| Full Name | Alba Wellness Group, A Licensed Clinical Social Worker Corporation |
|---|---|
| Speciality | Social Worker |
| Location | 14500 Roscoe Blvd Ste 400, Panorama City, California |
| Authorized Official Name and Position | Patricia Alba (CEO) |
| Authorized Official Contact | 8184068543 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alba Wellness Group, A Licensed Clinical Social Worker Corporation 14500 Roscoe Blvd Ste 400 Panorama City CA 91402-4194 Ph: (818) 406-8543 | Alba Wellness Group, A Licensed Clinical Social Worker Corporation 14500 Roscoe Blvd Ste 400 Panorama City CA 91402-4194 Ph: (818) 406-8543 |
| NPI Number | 1780322123 |
|---|---|
| Provider Enumeration Date | 05/25/2022 |
| Last Update Date | 07/11/2023 |
| Certification Date | 07/11/2023 |
| Medicare PECOS PAC ID | 7214394774 |
|---|---|
| Medicare Enrollment ID | O20230530000264 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780322123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Patricia Alba |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124205885 PECOS PAC ID: 7315372729 Enrollment ID: I20200114000533 |
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