Healthcare Provider Details

I. General information

NPI: 1295428712
Provider Name (Legal Business Name): SABRINA MARIE ALVIZO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2023
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 S MCDONNELL AVE
COMMERCE CA
90040-5623
US

IV. Provider business mailing address

205 PASADENA AVE
SOUTH PASADENA CA
91030-2919
US

V. Phone/Fax

Practice location:
  • Phone: 323-981-4301
  • Fax:
Mailing address:
  • Phone: 323-344-5536
  • Fax: 323-344-5550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number19275
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number154673
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: