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NPI Code Detail

MEDICARE: JULIO CESAR ALVARENGA THIEBAUD M.D.

MEDICARE: JULIO CESAR ALVARENGA THIEBAUD 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
1207RH0000XHematology (Internal Medicine) PhysicianA167977CA
2207RH0003XHematology & Oncology PhysicianT2105TX

General Provider Information

NPI Number : 1457770497
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIO CESAR ALVARENGA THIEBAUD M.D.
Provider Business Mailing Address
First Line : PO BOX 512185
Second Line :
City : LOS ANGELES
State : CA
Zip : 90051-0185
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1000 FIVEPOINT STE A
Second Line :
City : IRVINE
State : CA
Zip : 92618-2621
Country : US
Telephone Number : 949-671-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2014
Last Update Date : 04/09/2026

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