Provider Demographics
NPI:1225380975
Name:MURCIA, ALEIDA
Entity type:Individual
Prefix:
First Name:ALEIDA
Middle Name:
Last Name:MURCIA
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 1:2930 E VIA TERRANO
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91764-6579
Mailing Address - Country:US
Mailing Address - Phone:909-641-0606
Mailing Address - Fax:
Practice Address - Street 1:2930 E VIA TERRANO
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91764-6579
Practice Address - Country:US
Practice Address - Phone:909-641-0606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-04
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA99854104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker