MEDICARE: CYNTHIA B ALCARAZ MSW

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	104100000X	Social Worker	20581	CA

General Provider Information

NPI Number	:	1770669442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA B ALCARAZ MSW

Provider Business Mailing Address
First Line	:	PO BOX 5132
Second Line	:
City	:	BELLFLOWER
State	:	CA
Zip	:	90707-5132
Country	:	US
Telephone Number	:	310-668-6934
Fax Number	:

Provider Business Practice Location Address
First Line	:	921 E COMPTON BLVD
Second Line	:	1ST FLR
City	:	COMPTON
State	:	CA
Zip	:	90221-3303
Country	:	US
Telephone Number	:	310-668-6934
Fax Number	:

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

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	07/08/2007

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