Organization
ALERT MEDIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUILLERMO OSVALDO HERRERA PH.D. (PRESIDENT)
(310) 601-8170
Entity
Organization
Contact information
Practice address
9345 PIONEER BLVD, #202, SANTA FE SPRINGS, CA 90670-2387
(310) 601-8170
(310) 693-8012
Mailing address
9345 PIONEER BLVD, #202, SANTA FE SPRINGS, CA 90670-2387
(310) 601-8170
(310) 693-8012
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY15739
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY157391
MEDI-CAL
CA
Enumeration date
09/12/2008
Last updated
09/12/2008
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