Provider Demographics
NPI:1699017319
Name:CARLOS A. ALVAREZ MD A MEDICAL GROUP
Entity Type:Organization
Organization Name:CARLOS A. ALVAREZ MD A MEDICAL GROUP
Other - Org Name:LAMONT URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:661-836-4000
Mailing Address - Street 1:8929 PANAMA RD STE A
Mailing Address - Street 2:
Mailing Address - City:LAMONT
Mailing Address - State:CA
Mailing Address - Zip Code:93241
Mailing Address - Country:US
Mailing Address - Phone:661-836-4000
Mailing Address - Fax:
Practice Address - Street 1:8929 PANAMA RD STE A
Practice Address - Street 2:
Practice Address - City:LAMONT
Practice Address - State:CA
Practice Address - Zip Code:93241
Practice Address - Country:US
Practice Address - Phone:661-836-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care