Ken Tatsuro Alma

Individual provider Active NPI Clinical Social Worker · Westminster, CA

NPI 1811036932 · NPPES record last updated Jan 23, 2020

Key facts

NPI
1811036932
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
70106 (CA)
Practice address
14140 Beach Blvd
Westminster, CA 92683-4453
Phone
(714) 896-7566
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 70106 CA Yes

Addresses

Primary practice location

14140 Beach Blvd
Westminster, CA 92683-4453

Mailing address

14140 Beach Blvd
Westminster, CA 92683-4453
Phone (714) 896-7566

Other providers in Westminster, CA

All providers in Westminster, CA · Clinical Social Worker in California

Sources for this page

Verify at the official NPI Registry.