MEDICARE: ALVIN MENDLOVITS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	21690	CA

General Provider Information

NPI Number	:	1033546684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALVIN MENDLOVITS

Provider Business Mailing Address
First Line	:	5235 FIORE TER APT 220
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92122-6514
Country	:	US
Telephone Number	:	858-246-7887
Fax Number	:

Provider Business Practice Location Address
First Line	:	5235 FIORE TER APT 220
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92122-6514
Country	:	US
Telephone Number	:	858-246-7887
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2013
Last Update Date	:	09/27/2013

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Directions to “ ALVIN MENDLOVITS ” Practice Location

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