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NPI Code Detail

MEDICARE: DIANA A ALVAREZ

MEDICARE:   DIANA A ALVAREZ
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 Worker94685CA

General Provider Information

NPI Number : 1770191397
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA A ALVAREZ
Provider Business Mailing Address
First Line : PO BOX 543
Second Line :
City : SAN LORENZO
State : CA
Zip : 94580-0543
Country : US
Telephone Number : 510-928-9424
Fax Number : 510-373-2482
Provider Business Practice Location Address
First Line : 10901 MACARTHUR BLVD STE 201
Second Line :
City : OAKLAND
State : CA
Zip : 94605-5200
Country : US
Telephone Number : 510-328-3880
Fax Number : 510-373-2482
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2020
Last Update Date : 07/20/2020

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Directions to “ DIANA A ALVAREZ ” Practice Location

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