Healthcare Provider Details

I. General information

NPI: 1740822873
Provider Name (Legal Business Name): ALESSA ALARCON URZUA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALESSA GIOVANNA ALARCON FNP

II. Dates (important events)

Enumeration Date: 10/10/2019
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 W ROWLAND ST
COVINA CA
91723-2943
US

IV. Provider business mailing address

PO BOX 35380
LAS VEGAS NV
89133-5380
US

V. Phone/Fax

Practice location:
  • Phone: 626-331-6411
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95013419
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: