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NPI Code Detail

MEDICARE: JEREMY JOHN ALVARADO

MEDICARE: JEREMY JOHN ALVARADO
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
11041C0700XClinical Social Worker106346CA

General Provider Information

NPI Number : 1447636329
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEREMY JOHN ALVARADO
Provider Business Mailing Address
First Line : 470 E 3RD ST STE C
Second Line :
City : LOS ANGELES
State : CA
Zip : 90013-1630
Country : US
Telephone Number : 213-620-5712
Fax Number : 213-621-4155
Provider Business Practice Location Address
First Line : 470 E 3RD ST STE C
Second Line :
City : LOS ANGELES
State : CA
Zip : 90013-1630
Country : US
Telephone Number : 213-620-5712
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2015
Last Update Date : 05/27/2026

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