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NPI Code Detail

MEDICARE: ALLIANCE MENTAL HEALTH

MEDICARE: ALLIANCE MENTAL HEALTH
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
1106H00000XMarriage & Family Therapist
22084P0800XPsychiatry Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11396093811OTHERCATINA BESIMANTO
21831535053OTHERCAAARON P. SIANI

General Provider Information

NPI Number : 1194218537
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLIANCE MENTAL HEALTH
Provider Business Mailing Address
First Line : 2034 COTNER AVE STE 200
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-5664
Country : US
Telephone Number : 818-335-5200
Fax Number :
Provider Business Practice Location Address
First Line : 2034 COTNER AVE STE 200
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-5664
Country : US
Telephone Number : 818-335-5200
Fax Number :
Authorized Official
Title or Position : CEO
Name : AARON POUYAN SIANI
Credential : MD
Telephone Number : 818-335-5200
Provider Enumeration Date : 06/11/2018
Last Update Date : 06/28/2019

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Directions to “ALLIANCE MENTAL HEALTH ” Practice Location

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