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NPI Code Detail

MEDICARE: ALAN HUIZAR

MEDICARE:   ALAN  HUIZAR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1373H00000XDay Training/Habilitation Specialist
2171400000XHealth & Wellness CoachCA
3172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1568277200
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAN HUIZAR
Provider Business Mailing Address
First Line : 7691 BROADMOOR PL
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-6830
Country : US
Telephone Number : 909-240-7128
Fax Number :
Provider Business Practice Location Address
First Line : 390 N EUCLID AVE
Second Line :
City : UPLAND
State : CA
Zip : 91786-6031
Country : US
Telephone Number : 909-985-1864
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2025
Last Update Date : 12/29/2025

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Directions to “ ALAN HUIZAR ” Practice Location

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