Healthcare Provider Details

I. General information

NPI: 1609335603
Provider Name (Legal Business Name): ARTURO ALEGRE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2019
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

290 N D ST STE 700
SAN BERNARDINO CA
92401-1705
US

IV. Provider business mailing address

290 N D ST STE 700
SAN BERNARDINO CA
92401-1705
US

V. Phone/Fax

Practice location:
  • Phone: 909-963-5355
  • Fax:
Mailing address:
  • Phone: 909-963-5355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number130747
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: