Healthcare Provider Details

I. General information

NPI: 1649135724
Provider Name (Legal Business Name): ALHAMBRA UNIFIED SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 W MISSION RD
ALHAMBRA CA
91803-1618
US

IV. Provider business mailing address

2615 W NORWOOD PL
ALHAMBRA CA
91803-2701
US

V. Phone/Fax

Practice location:
  • Phone: 626-943-3410
  • Fax:
Mailing address:
  • Phone: 626-943-3410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. MAILIN CHAN
Title or Position: LICENSED MENTAL HEALTH COUNSELOR
Credential:
Phone: 626-353-5576