Individual
ALEXANDER TAMAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1721 GRIFFIN AVE, LOS ANGELES, CA 90031-3312
(323) 221-4134
Mailing address
1721 GRIFFIN AVE, LOS ANGELES, CA 90031-3312
(323) 221-4134
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
127778
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/22/2020
Last updated
10/12/2021
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