Provider Demographics
NPI:1417612706
Name:ALVARADO, CLAUDIA PEREZ
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:PEREZ
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:
Other - Last Name:PEREZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1577 E CHEVY CHASE DR STE 120
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91206-4193
Mailing Address - Country:US
Mailing Address - Phone:323-837-8311
Mailing Address - Fax:
Practice Address - Street 1:1577 E CHEVY CHASE DR STE 120
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-4193
Practice Address - Country:US
Practice Address - Phone:323-837-8311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-02
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11522103TC0700X
CA635196101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor