Provider Demographics
NPI:1659373850
Name:ALVAREZ-MOTT, STEVEN D (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:D
Last Name:ALVAREZ-MOTT
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 1:315 E ROUTE 66
Mailing Address - Street 2:STE 101
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91740-6257
Mailing Address - Country:US
Mailing Address - Phone:626-963-4124
Mailing Address - Fax:626-963-6773
Practice Address - Street 1:315 E ROUTE 66
Practice Address - Street 2:STE 101
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91740-6257
Practice Address - Country:US
Practice Address - Phone:626-963-4124
Practice Address - Fax:626-963-6773
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG53551174400000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G535510Medicaid
CAA89962Medicare UPIN
CAWG53551CMedicare ID - Type Unspecified