Alicia Corona, is a
Rehabilitation Practitioner based in Venice, California. Alicia Corona is licensed to practice in * (Not Available) (license number ) and her current practice location is
204 Hampton Dr, Venice, California. She can be reached at her office (for appointments etc.) via phone at
(310) 392-8402.
NPI number for Alicia Corona is 1205408101 and her current mailing address is 204 Hampton Dr, Venice, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205408101.
Healthcare Provider's Profile
| Full Name | Alicia Corona |
|---|
| Gender | Female |
|---|
| Speciality | Rehabilitation Practitioner |
|---|
| Location | 204 Hampton Dr, Venice, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1205408101
- Provider Enumeration Date: 07/12/2021
- Last Update Date: 04/17/2025
Medical Identifiers
Medical identifiers for Alicia Corona such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205408101 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alicia Corona is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Alicia Corona,
204 Hampton Dr,
Venice, CA 90291-2623
Ph: () - | Alicia Corona,
204 Hampton Dr,
Venice, CA 90291-2623
Ph: (310) 392-8402 |
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