Healthcare Provider Details

I. General information

NPI: 1114857919
Provider Name (Legal Business Name): ALEXA DIANA BARBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23133 HAWTHORNE BLVD STE B10
TORRANCE CA
90505-3776
US

IV. Provider business mailing address

2112 E 4TH ST STE 218E
SANTA ANA CA
92705-3840
US

V. Phone/Fax

Practice location:
  • Phone: 213-222-6553
  • Fax:
Mailing address:
  • Phone: 213-222-6553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number159107
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: