MEDICARE: DR. JUAN ANTONIO ALARCON MD

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	208800000X	Urology Physician	A40197	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609834217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUAN ANTONIO ALARCON MD

Provider Business Mailing Address
First Line	:	PO BOX 303
Second Line	:
City	:	SURFSIDE
State	:	CA
Zip	:	90743-0303
Country	:	US
Telephone Number	:	714-841-5471
Fax Number	:	714-841-7661

Provider Business Practice Location Address
First Line	:	2133 W BEVERLY BLVD
Second Line	:	SUITE 200
City	:	MONTEBELLO
State	:	CA
Zip	:	90640-3901
Country	:	US
Telephone Number	:	626-284-9278
Fax Number	:	626-284-9746

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

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	03/03/2010

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