Healthcare Provider Details

I. General information

NPI: 1497454144
Provider Name (Legal Business Name): BMS ALIGNMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2023
Last Update Date: 03/01/2023
Certification Date: 03/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1651 E 4TH ST STE 211
SANTA ANA CA
92701-5142
US

IV. Provider business mailing address

1651 E 4TH ST STE 211
SANTA ANA CA
92701-5142
US

V. Phone/Fax

Practice location:
  • Phone: 714-863-3680
  • Fax:
Mailing address:
  • Phone: 714-863-3680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MAYRA INIGUEZ
Title or Position: PRESIDENT
Credential: LMFT
Phone: 657-999-0052