Healthcare Provider Details

I. General information

NPI: 1659787174
Provider Name (Legal Business Name): CLAUDIA ALEJANDRA ALVAREZ D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2014
Last Update Date: 05/12/2021
Certification Date: 05/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1403 LOMITA BLVD STE 200
HARBOR CITY CA
90710-2086
US

IV. Provider business mailing address

1403 LOMITA BLVD STE 200
HARBOR CITY CA
90710-2086
US

V. Phone/Fax

Practice location:
  • Phone: 310-534-7600
  • Fax: 310-326-7205
Mailing address:
  • Phone: 310-534-7600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS15660
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: