=====================================================
General NPI Number Information
=====================================================
NPI Number | 1194646323
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARIA ISABEL ALCOCER
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/23/2026
-----------------------------------------------------
Last Update Date | 07/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 29061 W. CLARKSON AVE. SPC#16
-----------------------------------------------------
City | CANTUA CREEK
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93608
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-630-9560
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 301
-----------------------------------------------------
City | CANTUA CREEK
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93608-0301
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-630-8691
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 172A00000X
-----------------------------------------------------
Taxonomy Name | Driver
-----------------------------------------------------
License Number | A2162635
-----------------------------------------------------
License Number State |
-----------------------------------------------------