Healthcare Provider Details

I. General information

NPI: 1578470217
Provider Name (Legal Business Name): ARRON ANTHONY ALVARADO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 W WREN AVE
VISALIA CA
93291-2079
US

IV. Provider business mailing address

340 W WREN AVE
VISALIA CA
93291-2079
US

V. Phone/Fax

Practice location:
  • Phone: 559-723-3724
  • Fax:
Mailing address:
  • Phone: 559-723-3724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: