MEDICARE: ALZHEIMER'S GREATER LOS ANGELES

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
2	251V00000X	Voluntary or Charitable Agency

General Provider Information

NPI Number	:	1891013058
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALZHEIMER'S GREATER LOS ANGELES

Provider Business Mailing Address
First Line	:	2922 CRENSHAW BLVD STE 125
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90016-4265
Country	:	US
Telephone Number	:	323-930-6237
Fax Number	:

Provider Business Practice Location Address
First Line	:	2922 CRENSHAW BLVD STE 125
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90016-4265
Country	:	US
Telephone Number	:	323-930-6237
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	BRET SCHAEFER
Credential	:	MBA, CPA
Telephone Number	:	650-823-9952

Provider Enumeration Date	:	05/12/2010
Last Update Date	:	01/15/2026

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