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NPI Code Detail

MEDICARE: MR. ANTHONY ROBERT ALVARADO L.C.S.W.

MEDICARE: MR. ANTHONY ROBERT ALVARADO L.C.S.W.
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 WorkerLCS 21586CA

General Provider Information

NPI Number : 1518058833
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANTHONY ROBERT ALVARADO L.C.S.W.
Provider Business Mailing Address
First Line : 441 KATHERINE DR
Second Line :
City : MONTEBELLO
State : CA
Zip : 90640-3741
Country : US
Telephone Number : 213-422-0839
Fax Number :
Provider Business Practice Location Address
First Line : 5321 VIA MARISOL
Second Line :
City : LOS ANGELES
State : CA
Zip : 90042-4883
Country : US
Telephone Number : 323-478-8200
Fax Number : 323-344-8829
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2006
Last Update Date : 12/20/2012

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