Provider Demographics
NPI:1346388741
Name:ALVAREZ, LOUIS RICHARD (MD)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:RICHARD
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16756 CHINO CORONA ROAD
Mailing Address - Street 2:CALIFORNIA INSTITUTION FOR WOMEN
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92878-6000
Mailing Address - Country:US
Mailing Address - Phone:909-597-1771
Mailing Address - Fax:
Practice Address - Street 1:16756 CHINO-CORONA ROAD
Practice Address - Street 2:CALIFORNIA INSTITUTION FOR WOMEN
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92878-6000
Practice Address - Country:US
Practice Address - Phone:909-597-1771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA505022084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE95655Medicare UPIN