Provider Demographics
NPI:1093010944
Name:ALVAREZ, ANA YVETTE (MA)
Entity Type:Individual
Prefix:MISS
First Name:ANA
Middle Name:YVETTE
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11565 LAUREL CANYON BLVD. SUITE 116
Mailing Address - Street 2:
Mailing Address - City:MISSION HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91345
Mailing Address - Country:US
Mailing Address - Phone:818-361-5030
Mailing Address - Fax:818-361-1764
Practice Address - Street 1:11565 LAUREL CANYON BLVD. SUITE 116
Practice Address - Street 2:
Practice Address - City:MISSION HILLS
Practice Address - State:CA
Practice Address - Zip Code:91345
Practice Address - Country:US
Practice Address - Phone:818-361-5030
Practice Address - Fax:818-361-1764
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-24
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner