Provider Demographics
NPI:1992219208
Name:ALCARAZ, BEATRIZ (AOD)
Entity Type:Individual
Prefix:MS
First Name:BEATRIZ
Middle Name:
Last Name:ALCARAZ
Suffix:
Gender:F
Credentials:AOD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-2708
Mailing Address - Country:US
Mailing Address - Phone:562-424-6105
Mailing Address - Fax:562-427-1678
Practice Address - Street 1:2501 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-2708
Practice Address - Country:US
Practice Address - Phone:562-424-6105
Practice Address - Fax:562-688-1044
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-22
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5405-R101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)