Provider Demographics
NPI:1770141855
Name:ALEJANDRE, SHAELA MOUNIRA
Entity type:Individual
Prefix:
First Name:SHAELA
Middle Name:MOUNIRA
Last Name:ALEJANDRE
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 1:1 BATES BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:ORINDA
Mailing Address - State:CA
Mailing Address - Zip Code:94563-2800
Mailing Address - Country:US
Mailing Address - Phone:510-596-8137
Mailing Address - Fax:510-596-8955
Practice Address - Street 1:1 BATES BLVD STE 400
Practice Address - Street 2:
Practice Address - City:ORINDA
Practice Address - State:CA
Practice Address - Zip Code:94563-2800
Practice Address - Country:US
Practice Address - Phone:510-596-8137
Practice Address - Fax:510-596-8955
Is Sole Proprietor?:No
Enumeration Date:2019-06-03
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program