Healthcare Provider Details

I. General information

NPI: 1093454944
Provider Name (Legal Business Name): CLAUDIA ALCALDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2022
Last Update Date: 08/09/2024
Certification Date: 08/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

907 W LANCASTER BLVD
LANCASTER CA
93534-2305
US

IV. Provider business mailing address

45023 PALO VISTA DR
LANCASTER CA
93535-1139
US

V. Phone/Fax

Practice location:
  • Phone: 818-654-3887
  • Fax:
Mailing address:
  • Phone: 661-571-5866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: