| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ATHENA ALCALA | 1649902057 | 2022-06-26 |
Athena Alcala is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1649902057. Registration indicates Athena Alcala is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Athena Alcala |
| Practice Office Address | 2600 N CENTRAL AVE COMPTON, CA US |
| Practice Office Telephone | 8884175163 |
| Mailing Address | 2600 N CENTRAL AVE COMPTON, CA 902221640 US |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |