Provider Demographics
NPI:1659520872
Name:ALVARADO, ALEXIS ARTURO (RCP)
Entity Type:Individual
Prefix:MR
First Name:ALEXIS
Middle Name:ARTURO
Last Name:ALVARADO
Suffix:
Gender:M
Credentials:RCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28332 MAXINE LN
Mailing Address - Street 2:
Mailing Address - City:SAUGUS
Mailing Address - State:CA
Mailing Address - Zip Code:91350-3969
Mailing Address - Country:US
Mailing Address - Phone:818-486-9628
Mailing Address - Fax:
Practice Address - Street 1:28332 MAXINE LN.
Practice Address - Street 2:
Practice Address - City:SAUGUS
Practice Address - State:CA
Practice Address - Zip Code:91350-3969
Practice Address - Country:US
Practice Address - Phone:818-486-9628
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-11
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00027638227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified