Provider Demographics
NPI:1316404833
Name:IPINA, ALEJANDRA KENIA
Entity type:Individual
Prefix:
First Name:ALEJANDRA
Middle Name:KENIA
Last Name:IPINA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2249 W WHITTIER BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-3464
Mailing Address - Country:US
Mailing Address - Phone:626-496-2800
Mailing Address - Fax:
Practice Address - Street 1:2249 W WHITTIER BLVD STE B
Practice Address - Street 2:
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-3464
Practice Address - Country:US
Practice Address - Phone:626-496-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-21
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA127755106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist