Individual ProviderEvangelina EstradaMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address4050 Katella Ave Ste 202, Los Alamitos, CA 90720-3475(562) 881-6847PECOS EnrollmentBased on the most recent information from CMS, provider Evangelina Estrada does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1891825089Provider TypeIndividualFull NameEstrada, EvangelinaTitleMs.CredentialMFTGenderFemaleSole ProprietorYesEnumeration Date3/6/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address4050 Katella Ave Ste 202, Los Alamitos, CA 90720-3475Phone(562) 881-6847FaxUnlisted FaxMailing LocationMailing Address4050 Katella Ave Ste 202, Los Alamitos, CA 90720-3475PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseMFT 35830California