Healthcare Provider Details

I. General information

NPI: 1124269246
Provider Name (Legal Business Name): MARITZA BAEZ ALVAREZ PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2009
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6869 NAOMI AVE
BUENA PARK CA
90620-1646
US

IV. Provider business mailing address

6869 NAOMI AVE
BUENA PARK CA
90620-1646
US

V. Phone/Fax

Practice location:
  • Phone: 562-805-8254
  • Fax:
Mailing address:
  • Phone: 562-805-8254
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY 22435
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: