Healthcare Provider Details

I. General information

NPI: 1942145156
Provider Name (Legal Business Name): A STEP INTO THE LIGHT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11232 LOS ALAMITOS BLVD
LOS ALAMITOS CA
90720-3900
US

IV. Provider business mailing address

11232 LOS ALAMITOS BLVD
LOS ALAMITOS CA
90720-3900
US

V. Phone/Fax

Practice location:
  • Phone: 562-907-8766
  • Fax:
Mailing address:
  • Phone: 562-907-8766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: ALEXIS GALICIA
Title or Position: ADMIN
Credential:
Phone: 702-272-7277