Basic Information
| Provider Information | |||||||||
| NPI: | 1144401159 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DEL ALTO | ||||||||
| FirstName: | INES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 625 34TH ST STE 100&200 | ||||||||
| Address2: | |||||||||
| City: | BAKERSFIELD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 933012305 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8336782781 | ||||||||
| FaxNumber: | 6613680618 | ||||||||
| Practice Location | |||||||||
| Address1: | 625 34TH ST STE 100&200 | ||||||||
| Address2: | |||||||||
| City: | BAKERSFIELD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 933012305 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8336782781 | ||||||||
| FaxNumber: | 6613680618 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/19/2007 | ||||||||
| LastUpdateDate: | 05/27/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/27/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 75265 | CA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.