Healthcare Provider Details

I. General information

NPI: 1912326976
Provider Name (Legal Business Name): IGNACIO ALVAREZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2014
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 PACIFIC ST
MONTEREY CA
93940-2815
US

IV. Provider business mailing address

500 IOOF AVE APT 83
GILROY CA
95020-5239
US

V. Phone/Fax

Practice location:
  • Phone: 831-645-1200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number22627
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: