Healthcare Provider Details

I. General information

NPI: 1003365750
Provider Name (Legal Business Name): CRISTINA PINELA- ALVAREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2016
Last Update Date: 02/28/2024
Certification Date: 02/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7556 AVENIDA BAJA
RIVERSIDE CA
92509-3449
US

IV. Provider business mailing address

16118 BONFAIR AVE
BELLFLOWER CA
90706-4436
US

V. Phone/Fax

Practice location:
  • Phone: 909-717-3125
  • Fax:
Mailing address:
  • Phone: 562-712-7248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: