Provider Demographics
NPI:1184876120
Name:CORONA, ALVARO JOEL II (BA, AA, AS)
Entity type:Individual
Prefix:MR
First Name:ALVARO
Middle Name:JOEL
Last Name:CORONA
Suffix:II
Gender:M
Credentials:BA, AA, AS
Other - Prefix:MR
Other - First Name:JOEL
Other - Middle Name:
Other - Last Name:CORONA
Other - Suffix:II
Other - Last Name Type:Other Name
Other - Credentials:BA, AA, AS
Mailing Address - Street 1:14285 MARYKNOLL CT
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92555
Mailing Address - Country:US
Mailing Address - Phone:951-616-8688
Mailing Address - Fax:
Practice Address - Street 1:711 SOUTH NEW HAMOPSHIRE AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90005
Practice Address - Country:US
Practice Address - Phone:213-385-5100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-22
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator