Healthcare Provider Details

I. General information

NPI: 1104354539
Provider Name (Legal Business Name): LLESENIA ALEMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2017
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5050 BARRANCA PKWY
IRVINE CA
92604-4698
US

IV. Provider business mailing address

5050 BARRANCA PKWY
IRVINE CA
92604-4652
US

V. Phone/Fax

Practice location:
  • Phone: 949-936-5287
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number102658
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: