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Provider Information for 1881725109


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Mr. ALEJANDRO DE ELIAS MFTI


Sex: Male

NPI: 1881725109
Last Updated: 2007-07-08
Certification Date:

Details

NameValue
NPI1881725109
Enumeration Date2007-03-08
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 10441 PICO VISTA RD
DOWNEY, CA 90241-3050
United States

Phone: 562-861-4364 | Fax:
 
Primary Practice Address 1200 WILSHIRE BLVD STE 100
LOS ANGELES, CA 90017-1932
United States

Phone: 213-482-9400 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist CAIMF42671