MEDICARE: ALEJANDRO ALVA, M.D. INC.

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
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1841510039
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALEJANDRO ALVA, M.D. INC.

Provider Business Mailing Address
First Line	:	3151 AIRWAY AVE.
Second Line	:	SUITE T-3
City	:	COSTA MESA
State	:	CA
Zip	:	92626-4627
Country	:	US
Telephone Number	:	714-545-5550
Fax Number	:	714-545-5748

Provider Business Practice Location Address
First Line	:	3151 AIRWAY AVE.
Second Line	:	SUITE T-3
City	:	COSTA MESA
State	:	CA
Zip	:	92626-4627
Country	:	US
Telephone Number	:	714-545-5550
Fax Number	:	714-545-5748

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ALEJANDRO ALVA
Credential	:	M.D.
Telephone Number	:	714-545-5550

Provider Enumeration Date	:	06/10/2010
Last Update Date	:	06/10/2010

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