Healthcare Provider Details

I. General information

NPI: 1013826262
Provider Name (Legal Business Name): MARIA MARTHA ALVAREZ ARRIAGA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARI ALVAREZ

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3124 W BEVERLY BLVD
MONTEBELLO CA
90640-2217
US

IV. Provider business mailing address

234 S EL MOLINO AVE APT 14
PASADENA CA
91101-2957
US

V. Phone/Fax

Practice location:
  • Phone: 877-462-7735
  • Fax:
Mailing address:
  • Phone: 424-204-3930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number140828
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: