Provider Demographics
NPI:1578058525
Name:ALFORD, DOROTHY ADHIAMBO (FNP)
Entity Type:Individual
Prefix:MRS
First Name:DOROTHY
Middle Name:ADHIAMBO
Last Name:ALFORD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3903 CONQUISTA AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90808-2215
Mailing Address - Country:US
Mailing Address - Phone:661-874-3094
Mailing Address - Fax:
Practice Address - Street 1:3756 SANTA ROSALIA DR STE 320
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90008-3615
Practice Address - Country:US
Practice Address - Phone:323-292-5600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-22
Last Update Date:2018-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95008257363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily