Healthcare Provider Details

I. General information

NPI: 1265218887
Provider Name (Legal Business Name): CLAUDIA B ALVARADO-SASSE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CLAUDIA B ALVARADO

II. Dates (important events)

Enumeration Date: 09/08/2023
Last Update Date: 09/08/2023
Certification Date: 09/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BARNARD DR
OCEANSIDE CA
92056-3899
US

IV. Provider business mailing address

4975 DEL MONTE AVE APT 2-6
SAN DIEGO CA
92107-3231
US

V. Phone/Fax

Practice location:
  • Phone: 760-795-6675
  • Fax:
Mailing address:
  • Phone: 760-587-3924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: