Healthcare Provider Details

I. General information

NPI: 1356296149
Provider Name (Legal Business Name): ISABEL CRISTINA ALVARADO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 02/27/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 N STATE COLLEGE BLVD
FULLERTON CA
92831-3547
US

IV. Provider business mailing address

801 HAMPSHIRE LN
LA HABRA CA
90631-7474
US

V. Phone/Fax

Practice location:
  • Phone: 657-278-2011
  • Fax:
Mailing address:
  • Phone: 805-512-2260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: