1417125246 NPI number — MS. ALMA MORALES RISSE MSW, LCSW

Table of content: MS. ALMA MORALES RISSE MSW, LCSW (NPI 1417125246)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417125246 NPI number — MS. ALMA MORALES RISSE MSW, LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RISSE
Provider First Name:
ALMA
Provider Middle Name:
MORALES
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MSW, LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1417125246
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/27/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14074 LA FORGE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WHITTIER
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90605-2353
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
562-321-9829
Provider Business Mailing Address Fax Number:
562-321-5599

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13033 PENN ST
Provider Second Line Business Practice Location Address:
800
Provider Business Practice Location Address City Name:
WHITTIER
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90602-1603
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-479-0144
Provider Business Practice Location Address Fax Number:
562-321-5599
Provider Enumeration Date:
02/14/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  28014 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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