Healthcare Provider Details

I. General information

NPI: 1013853720
Provider Name (Legal Business Name): EVELIN ALARCON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2026
Last Update Date: 04/25/2026
Certification Date: 04/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1114 GLACIER CT
SAN JACINTO CA
92583-6331
US

IV. Provider business mailing address

1114 GLACIER CT
SAN JACINTO CA
92583-6331
US

V. Phone/Fax

Practice location:
  • Phone: 951-392-6384
  • Fax:
Mailing address:
  • Phone: 951-392-6384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number00661987
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: