Healthcare Provider Details

I. General information

NPI: 1891013058
Provider Name (Legal Business Name): ALZHEIMER'S GREATER LOS ANGELES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2010
Last Update Date: 01/15/2026
Certification Date: 01/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2922 CRENSHAW BLVD STE 125
LOS ANGELES CA
90016-4265
US

IV. Provider business mailing address

2922 CRENSHAW BLVD STE 125
LOS ANGELES CA
90016-4265
US

V. Phone/Fax

Practice location:
  • Phone: 323-930-6237
  • Fax:
Mailing address:
  • Phone: 323-930-6237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: BRET SCHAEFER
Title or Position: COO
Credential: MBA, CPA
Phone: 650-823-9952