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General NPI Number Information
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NPI Number | 1609905082
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Entity Type | Organization
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Legal Business Name | ALVARADO CENTRO MEDICO, INC
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Dates
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Enumeration Date | 03/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 504 S ALVARADO ST 211
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City | LOS ANGELES
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State | CA
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Zip | 90057-2914
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Country | US
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Telephone | 213-413-6051
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Fax | 213-413-5209
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Provider Business Mailing Address
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Address Line | 504 S ALVARADO ST 211
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City | LOS ANGELES
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State | CA
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Zip | 90057-2914
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Country | US
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Telephone | 213-413-6051
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Fax | 213-413-5209
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Authorized Official
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Title or Position | PRESIDENT
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Name | BLANCA ALMEIDA
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Credential | MD
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Telephone | 213-413-6051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G79820
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License Number State | CA
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