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NPI Code Detail

MEDICARE: SUSANA DEL REFUGIO ALVAREZ

MEDICARE: SUSANA DEL REFUGIO ALVAREZ
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1376043851
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSANA DEL REFUGIO ALVAREZ
Provider Business Mailing Address
First Line : 21600 OXNARD ST
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-4976
Country : US
Telephone Number : 818-345-2345
Fax Number :
Provider Business Practice Location Address
First Line : 11835 W OLYMPIC BLVD STE 140E
Second Line :
City : LOS ANGELES
State : CA
Zip : 90064-5807
Country : US
Telephone Number : 424-276-3806
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2018
Last Update Date : 02/20/2018

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Directions to “ SUSANA DEL REFUGIO ALVAREZ ” Practice Location

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