MEDICARE: MARIA VILLA ALEGRE MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	103K00000X	Behavior Analyst	CA
2	103TC1900X	Counseling Psychologist	VA
3	376J00000X	Homemaker	CA

General Provider Information

NPI Number	:	1306709613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA VILLA ALEGRE MS

Provider Business Mailing Address
First Line	:	9001 KIMBERLY LN
Second Line	:
City	:	CYPRESS
State	:	CA
Zip	:	90630-2678
Country	:	US
Telephone Number	:	714-833-7553
Fax Number	:	--

Provider Business Practice Location Address
First Line	:	9001 KIMBERLY LN
Second Line	:
City	:	CYPRESS
State	:	CA
Zip	:	90630-2678
Country	:	US
Telephone Number	:	714-833-7553
Fax Number	:	--

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/04/2025

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Directions to “ MARIA VILLA ALEGRE MS” Practice Location

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