MEDICARE: DR. LOUIS RICHARD ALVAREZ M.D.

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	2084P0800X	Psychiatry Physician	A50502	CA

General Provider Information

NPI Number	:	1346388741
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOUIS RICHARD ALVAREZ M.D.

Provider Business Mailing Address
First Line	:	16756 CHINO CORONA ROAD
Second Line	:	CALIFORNIA INSTITUTION FOR WOMEN
City	:	CORONA
State	:	CA
Zip	:	92878-6000
Country	:	US
Telephone Number	:	909-597-1771
Fax Number	:

Provider Business Practice Location Address
First Line	:	16756 CHINO-CORONA ROAD
Second Line	:	CALIFORNIA INSTITUTION FOR WOMEN
City	:	CORONA
State	:	CA
Zip	:	92878-6000
Country	:	US
Telephone Number	:	909-597-1771
Fax Number	:

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

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	07/23/2007

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