Individual
ALEJANDRA VIDRIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 COLUMBIA AVE STE 310, LOS ANGELES, CA 90017-1209
(213) 249-9388
Mailing address
515 COLUMBIA AVE STE 310, LOS ANGELES, CA 90017-1209
(323) 952-0261
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
175T00000X
Peer Specialist
—
—
225400000X
Rehabilitation Practitioner
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22540000X
REHAB PRACTINIONER
—
Enumeration date
08/21/2019
Last updated
06/02/2025
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