Healthcare Provider Details

I. General information

NPI: 1679138408
Provider Name (Legal Business Name): ALEA CAMILLE CAINAP LORILLA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2019
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16960 BASTANCHURY RD STE E
YORBA LINDA CA
92886-1711
US

IV. Provider business mailing address

18970 ADNEY ST
ROWLAND HEIGHTS CA
91748-3801
US

V. Phone/Fax

Practice location:
  • Phone: 714-202-6721
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: