MEDICARE: ALDEA, INC.

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	:	1912780420
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALDEA, INC.

Provider Business Mailing Address
First Line	:	PO BOX 841
Second Line	:
City	:	NAPA
State	:	CA
Zip	:	94559-0841
Country	:	US
Telephone Number	:	707-224-8266
Fax Number	:	707-255-5621

Provider Business Practice Location Address
First Line	:	2455 BENNETT VALLEY RD STE B209
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95404-5669
Country	:	US
Telephone Number	:	707-224-8266
Fax Number	:

Authorized Official
Title or Position	:	OPERATIONS MANAGER
Name	:	YUEN CHIANG
Credential	:	MA
Telephone Number	:	707-224-8266

Provider Enumeration Date	:	08/17/2023
Last Update Date	:	03/05/2024

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Directions to “ALDEA, INC. ” Practice Location

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