Healthcare Provider Details

I. General information

NPI: 1447910070
Provider Name (Legal Business Name): LORENA GARCIA ALVAREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2021
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1563 MISSION ST
SAN FRANCISCO CA
94103-2543
US

IV. Provider business mailing address

117 N SAN MATEO DR
SAN MATEO CA
94401-2793
US

V. Phone/Fax

Practice location:
  • Phone: 650-425-9408
  • Fax:
Mailing address:
  • Phone: 650-425-9408
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberASW128848
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: