Provider Demographics
NPI:1790929644
Name:ALMENDRAL, ANGELINA REINOSO
Entity Type:Individual
Prefix:
First Name:ANGELINA
Middle Name:REINOSO
Last Name:ALMENDRAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 ELLIOT DR
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-3643
Mailing Address - Country:US
Mailing Address - Phone:415-350-5180
Mailing Address - Fax:
Practice Address - Street 1:8 ELLIOT DR
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-3643
Practice Address - Country:US
Practice Address - Phone:415-350-5180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-22
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS146121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical