Bertha Alicia Alatorre, LPT

Individual provider Active NPI Licensed Psychiatric Technician · Banning, CA

NPI 1740824085 · NPPES record last updated Dec 1, 2023

Key facts

NPI
1740824085
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Psychiatric Technician 167G00000X
License
PT26282 (CA)
Practice address
43250 Midnight CT
Banning, CA 92220-9565
Phone
(951) 683-6596
NPI assigned
Oct 30, 2019
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PT26282CAMDLicensed Psychiatric Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Mfi Recovery Center Current
since Dec 3, 2023
Accepting new patients

Locations

5870 Arlington Ave
Riverside, CA 92504
Phone (866) 218-4697

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Psychiatric Technician 167G00000X PT26282 CA Yes

Addresses

Primary practice location

43250 Midnight CT
Banning, CA 92220-9565

Mailing address

5870 Arlington Ave
Riverside, CA 92504-2037
Phone (951) 683-6596

Other names

  • Ms. Bertha Alicia Alatorre Professional name

Other providers in Banning, CA

All providers in Banning, CA · Licensed Psychiatric Technician in California

Sources for this page

Verify at the official NPI Registry.