Healthcare Provider Details

I. General information

NPI: 1518842780
Provider Name (Legal Business Name): ANA ALANIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2025
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 DEL AMO ST
REDONDO BEACH CA
90277-3050
US

IV. Provider business mailing address

11721 TELEGRAPH RD STE A
SANTA FE SPRINGS CA
90670-6835
US

V. Phone/Fax

Practice location:
  • Phone: 310-374-5706
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number142270
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: