Healthcare Provider Details

I. General information

NPI: 1326424698
Provider Name (Legal Business Name): CIERA LEANN YAMADA MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CIERA LEANN MILLENDER MSW

II. Dates (important events)

Enumeration Date: 08/10/2015
Last Update Date: 08/15/2024
Certification Date: 08/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

831 E ARROW HWY
POMONA CA
91767-2535
US

IV. Provider business mailing address

4050 KATELLA AVE STE 102
LOS ALAMITOS CA
90720-3463
US

V. Phone/Fax

Practice location:
  • Phone: 909-398-4383
  • Fax: 909-398-0127
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number87705
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: