Healthcare Provider Details

I. General information

NPI: 1962336057
Provider Name (Legal Business Name): ALIANZA HEALTH SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

799 MAIN ST STE I
HALF MOON BAY CA
94019-1946
US

IV. Provider business mailing address

1224 5TH AVE
REDWOOD CITY CA
94063-4020
US

V. Phone/Fax

Practice location:
  • Phone: 650-647-7564
  • Fax:
Mailing address:
  • Phone: 650-647-7564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY NICOLE FOSTER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 650-647-7564