Provider Demographics
NPI:1326244062
Name:DE LA LLANA, JOSE ALVAREZ (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:ALVAREZ
Last Name:DE LA LLANA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1749 S EUCLID AVE
Mailing Address - Street 2:STE A
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91762-5832
Mailing Address - Country:US
Mailing Address - Phone:909-972-0300
Mailing Address - Fax:909-984-4878
Practice Address - Street 1:1749 S EUCLID AVE
Practice Address - Street 2:STE A
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91762-5832
Practice Address - Country:US
Practice Address - Phone:909-972-0300
Practice Address - Fax:909-984-4878
Is Sole Proprietor?:No
Enumeration Date:2007-06-21
Last Update Date:2023-03-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME989392083P0901X
CAA101657208D00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine