MEDICARE: DR. FRANK A. ALVARADO DDS

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	1223G0001X	General Practice Dentistry	42266	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	:	1780687533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK A. ALVARADO DDS

Provider Business Mailing Address
First Line	:	2850 ARTESIA BLVD
Second Line	:	STE 210
City	:	REDONDO BEACH
State	:	CA
Zip	:	90278-3413
Country	:	US
Telephone Number	:	310-542-1004
Fax Number	:	310-542-4439

Provider Business Practice Location Address
First Line	:	2850 ARTESIA BLVD
Second Line	:	STE 210
City	:	REDONDO BEACH
State	:	CA
Zip	:	90278-3413
Country	:	US
Telephone Number	:	310-542-1004
Fax Number	:	310-542-4439

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

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	07/08/2007

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