Healthcare Provider Details

I. General information

NPI: 1699218156
Provider Name (Legal Business Name): ALYSSA BECERRA M.S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2016
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13225 PHILADELPHIA ST
WHITTIER CA
90601-4321
US

IV. Provider business mailing address

13225 PHILADELPHIA ST
WHITTIER CA
90601-4321
US

V. Phone/Fax

Practice location:
  • Phone: 626-782-5599
  • Fax:
Mailing address:
  • Phone: 626-782-5599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number8354
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: