Healthcare Provider Details

I. General information

NPI: 1548634439
Provider Name (Legal Business Name): ALEXANDER OCHOA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2015
Last Update Date: 01/12/2024
Certification Date: 01/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2310 1ST ST
NAPA CA
94559-2239
US

IV. Provider business mailing address

2310 1ST ST
NAPA CA
94559-2239
US

V. Phone/Fax

Practice location:
  • Phone: 707-255-1855
  • Fax:
Mailing address:
  • Phone:
  • 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 Code106H00000X
TaxonomyMarriage & Family Therapist
License Number127098
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: