MEDICARE: PABLO A ALARCON B

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1326992371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PABLO A ALARCON B

Provider Business Mailing Address
First Line	:	920 WEYBURN PL
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-2852
Country	:	US
Telephone Number	:	702-379-3829
Fax Number	:

Provider Business Practice Location Address
First Line	:	920 WEYBURN PL
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-2852
Country	:	US
Telephone Number	:	702-379-3829
Fax Number	:

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

Provider Enumeration Date	:	02/25/2026
Last Update Date	:	02/25/2026

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