Healthcare Provider Details

I. General information

NPI: 1083413975
Provider Name (Legal Business Name): KATHRYN ALDAMA M.S, P.P.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2025
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15151 TEMPLE ST
WESTMINSTER CA
92683-6230
US

IV. Provider business mailing address

15151 TEMPLE ST
WESTMINSTER CA
92683-6230
US

V. Phone/Fax

Practice location:
  • Phone: 714-894-7237
  • Fax: 714-379-1774
Mailing address:
  • Phone: 714-894-7237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: