MEDICARE: OLGA JEANETHE ALARCON

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	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1427610666
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLGA JEANETHE ALARCON

Provider Business Mailing Address
First Line	:	100 W WALNUT ST STE 375
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91103-3744
Country	:	US
Telephone Number	:	626-395-7100
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 W WALNUT ST STE 375
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91103-3744
Country	:	US
Telephone Number	:	626-395-7100
Fax Number	:

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

Provider Enumeration Date	:	07/08/2019
Last Update Date	:	07/08/2019

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Directions to “ OLGA JEANETHE ALARCON ” Practice Location

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