Healthcare Provider Details

I. General information

NPI: 1609632116
Provider Name (Legal Business Name): ALUMITA NAKAUTOGA YOUNG LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALUMITA NAREBA NAKAUTOGA

II. Dates (important events)

Enumeration Date: 02/22/2024
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26522 LA ALAMEDA STE 290
MISSION VIEJO CA
92691-8579
US

IV. Provider business mailing address

26522 LA ALAMEDA STE 290
MISSION VIEJO CA
92691-8579
US

V. Phone/Fax

Practice location:
  • Phone: 866-991-2103
  • Fax:
Mailing address:
  • Phone: 866-991-2103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number120911
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: