MEDICARE: MS. ALANI PRICE MPH, CHES

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	174H00000X	Health Educator

General Provider Information

NPI Number	:	1356755235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ALANI PRICE MPH, CHES

Provider Business Mailing Address
First Line	:	5613 S HARCOURT AVE
Second Line	:
City	:	WINDSOR HILLS
State	:	CA
Zip	:	90043-2243
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5613 S HARCOURT AVE
Second Line	:
City	:	WINDSOR HILLS
State	:	CA
Zip	:	90043-2243
Country	:	US
Telephone Number	:	310-710-2376
Fax Number	:

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

Provider Enumeration Date	:	06/18/2014
Last Update Date	:	06/18/2014

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