Healthcare Provider Details

I. General information

NPI: 1699270777
Provider Name (Legal Business Name): ALMA FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2018
Last Update Date: 11/24/2020
Certification Date: 11/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3320 MISSOURI AVENUE RM PSA
SOUTH GATE CA
90280-4308
US

IV. Provider business mailing address

900 CORPORATE CENTER DR STE 350
MONTEREY PARK CA
91754-7620
US

V. Phone/Fax

Practice location:
  • Phone: 323-923-9559
  • Fax: 323-923-9566
Mailing address:
  • Phone: 323-526-4016
  • Fax: 323-526-4096

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. CYNTHIA LOUISE BAKER
Title or Position: DIRECTOR OF BEHAVIORAL HEALTH
Credential: LCSW
Phone: 323-526-4016