Provider Demographics
NPI:1174949879
Name:DHAMECHA, ALAYNE
Entity type:Individual
Prefix:
First Name:ALAYNE
Middle Name:
Last Name:DHAMECHA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALAYNE
Other - Middle Name:
Other - Last Name:RIEGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1224 VINE ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90038-1612
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:23046 ANZA AVE
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-3455
Practice Address - Country:US
Practice Address - Phone:310-433-5732
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-05
Last Update Date:2022-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW758821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical