Healthcare Provider Details

I. General information

NPI: 1285452631
Provider Name (Legal Business Name): LOREN R ALEXANDER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2024
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12440 FIRESTONE BLVD STE 3001
NORWALK CA
90650-4300
US

IV. Provider business mailing address

PO BOX 2324 2900 S PACIFIC AVE BLDG 418
SAN PEDRO CA
90731-7817
US

V. Phone/Fax

Practice location:
  • Phone: 213-849-5459
  • Fax:
Mailing address:
  • Phone: 213-849-5459
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: