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NPI Code Detail

MEDICARE: PATRICK A ALCANTARA

MEDICARE: PATRICK A ALCANTARA
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
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1982102521
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK A ALCANTARA
Provider Business Mailing Address
First Line : 2851 CAMINO DEL RIO S STE 300
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-3814
Country : US
Telephone Number : 760-500-3325
Fax Number : 760-800-4099
Provider Business Practice Location Address
First Line : 2851 CAMINO DEL RIO S STE 300
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-3814
Country : US
Telephone Number : 760-500-3325
Fax Number : 760-800-4099
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2018
Last Update Date : 05/27/2025

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Directions to “ PATRICK A ALCANTARA ” Practice Location

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