Healthcare Provider Details

I. General information

NPI: 1255350971
Provider Name (Legal Business Name): FRANK ALVAREZ JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: FRANCISCO ALVAREZ JR. M.D., M.P.H.

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 07/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26415 CARL BOYER DR
SANTA CLARITA CA
91350-5824
US

IV. Provider business mailing address

26415 CARL BOYER DR
SANTA CLARITA CA
91350-5824
US

V. Phone/Fax

Practice location:
  • Phone: 661-287-4048
  • Fax: 661-286-2742
Mailing address:
  • Phone: 661-287-4048
  • Fax: 661-286-2742

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberG68732
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: