Rosana Alaniz | |
135 E Olive Ave # 667 Burbank CA 91502-1820 | |
(818) 338-2707 | |
(818) 304-9051 |
Full Name | Rosana Alaniz |
---|---|
Speciality | Clinic/Center |
Location | 135 E Olive Ave # 667, Burbank, California |
Authorized Official Name and Position | Rosana Coria Alaniz (MENTAL HEALTH THERAPIST) |
Authorized Official Contact | 2135078694 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Rosana Alaniz 135 E Olive Ave # 667 Burbank CA 91502-1820 Ph: (818) 338-2707 | Rosana Alaniz 135 E Olive Ave # 667 Burbank CA 91502-1820 Ph: (818) 338-2707 |
NPI Number | 1316623143 |
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Provider Enumeration Date | 06/26/2023 |
Last Update Date | 11/02/2024 |
Certification Date | 11/02/2024 |
Medicare PECOS PAC ID | 4880058981 |
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Medicare Enrollment ID | O20230907002805 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316623143 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Rosana Coria Alaniz |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902353618 PECOS PAC ID: 8426444977 Enrollment ID: I20220408001380 |
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