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NPI Code Detail

MEDICARE: ELBA E ALVARADO MA, AMFT

MEDICARE: ELBA E ALVARADO MA, AMFT
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
1101YM0800XMental Health Counselor119955CA

General Provider Information

NPI Number : 1316536568
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELBA E ALVARADO MA, AMFT
Provider Business Mailing Address
First Line : 16056 E CYPRESS ST
Second Line :
City : COVINA
State : CA
Zip : 91722-2207
Country : US
Telephone Number : 626-388-4422
Fax Number :
Provider Business Practice Location Address
First Line : 5550 TOPANGA CANYON BLVD STE 150
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-7413
Country : US
Telephone Number : 818-697-8555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2021
Last Update Date : 01/12/2021

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