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NPI Code Detail

MEDICARE: DR. GUSTAVO ALVA M.D.

MEDICARE:  DR. GUSTAVO  ALVA  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
12084P0800XPsychiatry PhysicianA055247CA

General Provider Information

NPI Number : 1417030222
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GUSTAVO ALVA M.D.
Provider Business Mailing Address
First Line : 19782 MACARTHUR BLVD STE 300
Second Line :
City : IRVINE
State : CA
Zip : 92612-2417
Country : US
Telephone Number : 714-545-5550
Fax Number : 949-991-2040
Provider Business Practice Location Address
First Line : 302 W LA VETA AVE STE 202
Second Line :
City : ORANGE
State : CA
Zip : 92866-2607
Country : US
Telephone Number : 714-545-5550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2006
Last Update Date : 01/23/2026

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Directions to “ DR. GUSTAVO ALVA M.D.” Practice Location

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