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NPI Code Detail

MEDICARE: DR. ALFONSO CARDENAS M.D.

MEDICARE: DR. ALFONSO CARDENAS M.D.
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
1207L00000XAnesthesiology PhysicianG64609CA
2207LP2900XPain Medicine (Anesthesiology) PhysicianG64609CA

General Provider Information

NPI Number : 1811963051
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALFONSO CARDENAS M.D.
Provider Business Mailing Address
First Line : PO BOX 7001
Second Line :
City : TARZANA
State : CA
Zip : 91357-7001
Country : US
Telephone Number : 818-888-7815
Fax Number : 818-715-1722
Provider Business Practice Location Address
First Line : 7300 MEDICAL CENTER DR
Second Line :
City : WEST HILLS
State : CA
Zip : 91307-1902
Country : US
Telephone Number : 818-676-4000
Fax Number : 818-715-1722
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2006
Last Update Date : 10/24/2012

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