Provider Demographics
NPI:1689148181
Name:JULIAN ALFARO MD INC
Entity Type:Organization
Organization Name:JULIAN ALFARO MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:ALFARO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-488-5086
Mailing Address - Street 1:7898 RALSTON PL
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92508-6128
Mailing Address - Country:US
Mailing Address - Phone:714-296-7064
Mailing Address - Fax:714-884-4752
Practice Address - Street 1:2337 W 1ST ST
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92703-3503
Practice Address - Country:US
Practice Address - Phone:714-488-5086
Practice Address - Fax:714-884-4752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-17
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care