Provider Demographics
NPI:1275371601
Name:ALFARO, KARENINA PICABO
Entity type:Individual
Prefix:
First Name:KARENINA
Middle Name:PICABO
Last Name:ALFARO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90651-0002
Mailing Address - Country:US
Mailing Address - Phone:818-396-7732
Mailing Address - Fax:
Practice Address - Street 1:2716 S VERMONT AVE STE 9
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90007-2594
Practice Address - Country:US
Practice Address - Phone:323-810-9233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist