Provider Demographics
NPI:1275653222
Name:ALVIN ARELLANO, O.D., INC.
Entity Type:Organization
Organization Name:ALVIN ARELLANO, O.D., INC.
Other - Org Name:FOCAL POINT OPTOMETRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARELLANO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:714-992-8020
Mailing Address - Street 1:1909 W MALVERN AVE
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92833-2177
Mailing Address - Country:US
Mailing Address - Phone:714-992-8020
Mailing Address - Fax:714-992-8021
Practice Address - Street 1:1909 W MALVERN AVE
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92833-2177
Practice Address - Country:US
Practice Address - Phone:714-992-8020
Practice Address - Fax:714-992-8021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11040T152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD011091Medicaid
CASD0011040Medicaid
CAWOP1215AMedicare ID - Type UnspecifiedDR. ERIN SONG
CASD0011040Medicaid
CAWOP11040CMedicare ID - Type Unspecified
CAU93654Medicare UPIN
CAU71946Medicare UPIN
CASD011091Medicaid