MEDICARE: ALMA FAMILY SERVICES

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1649775891
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALMA FAMILY SERVICES

Provider Business Mailing Address
First Line	:	900 CORPORATE CENTER DR STE 350
Second Line	:
City	:	MONTEREY PARK
State	:	CA
Zip	:	91754-7620
Country	:	US
Telephone Number	:	323-526-4016
Fax Number	:	323-526-4096

Provider Business Practice Location Address
First Line	:	6055 CORONA AVENUE
Second Line	:	RM PSA
City	:	HUNTINGTON PARK
State	:	CA
Zip	:	90255-3332
Country	:	US
Telephone Number	:	323-923-9559
Fax Number	:	323-923-9566

Authorized Official
Title or Position	:	DIRECTOR OF BEHAVIORAL HEALTH
Name	:	CYNTHIA LOUISE BAKER
Credential	:	LCSW
Telephone Number	:	323-526-4016

Provider Enumeration Date	:	03/29/2018
Last Update Date	:	11/24/2020

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