Healthcare Provider Details

I. General information

NPI: 1740987221
Provider Name (Legal Business Name): ALEJANDRA GIRELLI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2023
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 MAUCHLY STE 317
IRVINE CA
92618-2361
US

IV. Provider business mailing address

555 N EL CAMINO REAL # 248
SAN CLEMENTE CA
92672-6740
US

V. Phone/Fax

Practice location:
  • Phone: 949-777-6694
  • Fax:
Mailing address:
  • Phone: 951-314-3504
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number128172
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: