Healthcare Provider Details

I. General information

NPI: 1053256941
Provider Name (Legal Business Name): ALYSSA JAMES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14401 S GIBSON AVE
COMPTON CA
90221-2514
US

IV. Provider business mailing address

2300 W CALDWELL ST
COMPTON CA
90220-4116
US

V. Phone/Fax

Practice location:
  • Phone: 310-898-6070
  • Fax:
Mailing address:
  • Phone: 714-328-9865
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number118534
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: