Healthcare Provider Details

I. General information

NPI: 1104347509
Provider Name (Legal Business Name): ELIZABETH ALVAREZ ESPINOZA IMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2017
Last Update Date: 07/30/2024
Certification Date: 07/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 W VICTORIA ST
GARDENA CA
90248-3523
US

IV. Provider business mailing address

2632 W LINCOLN AVE
MONTEBELLO CA
90640-1708
US

V. Phone/Fax

Practice location:
  • Phone: 310-715-2020
  • Fax:
Mailing address:
  • Phone: 562-980-6372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number124143
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: