Provider Demographics
NPI:1598954497
Name:ALARCON, ELISA
Entity Type:Individual
Prefix:MRS
First Name:ELISA
Middle Name:
Last Name:ALARCON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3626 GEARY BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-3215
Mailing Address - Country:US
Mailing Address - Phone:415-750-4150
Mailing Address - Fax:415-750-4196
Practice Address - Street 1:3626 GEARY BLVD
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-3215
Practice Address - Country:US
Practice Address - Phone:415-750-4150
Practice Address - Fax:415-750-4196
Is Sole Proprietor?:No
Enumeration Date:2007-10-17
Last Update Date:2009-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator