Healthcare Provider Details

I. General information

NPI: 1902058746
Provider Name (Legal Business Name): LOIDA ELISA ALMAGUEL LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2008
Last Update Date: 10/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 N PRAIRIE AVE
INGLEWOOD CA
90301-4502
US

IV. Provider business mailing address

PO BOX 39655
LOS ANGELES CA
90039-0655
US

V. Phone/Fax

Practice location:
  • Phone: 310-846-2156
  • Fax: 310-677-7205
Mailing address:
  • Phone: 310-846-2156
  • Fax: 310-398-5690

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS 27759
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: