MEDICARE: ALINA GRAY PSY.D., LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	53060	CA
2	103TC0700X	Clinical Psychologist	30454	CA

General Provider Information

NPI Number	:	1033447339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALINA GRAY PSY.D., LMFT

Provider Business Mailing Address
First Line	:	231 E ALESSANDRO BLVD # A317
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92508-5084
Country	:	US
Telephone Number	:	310-902-9266
Fax Number	:

Provider Business Practice Location Address
First Line	:	231 E ALESSANDRO BLVD # A317
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92508-5084
Country	:	US
Telephone Number	:	866-442-5777
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/24/2009
Last Update Date	:	03/02/2026

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