MEDICARE: DR. ALICIA MERCEDES ALVARENGA D.C.

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	111N00000X	Chiropractor	33795	CA

General Provider Information

NPI Number	:	1205377009
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALICIA MERCEDES ALVARENGA D.C.

Provider Business Mailing Address
First Line	:	1137 WALPERT ST
Second Line	:	APT 89
City	:	HAYWARD
State	:	CA
Zip	:	94541-6754
Country	:	US
Telephone Number	:	510-600-3347
Fax Number	:

Provider Business Practice Location Address
First Line	:	20579 SANTA MARIA AVE
Second Line	:
City	:	CASTRO VALLEY
State	:	CA
Zip	:	94546-5610
Country	:	US
Telephone Number	:	510-600-3347
Fax Number	:

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

Provider Enumeration Date	:	03/13/2017
Last Update Date	:	03/13/2017

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