Provider Demographics
NPI:1831445717
Name:ALVARADO, PATRICIA (MA)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 W 7TH ST APT 1110
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90014-1967
Mailing Address - Country:US
Mailing Address - Phone:323-250-2449
Mailing Address - Fax:
Practice Address - Street 1:1304 W BEVERLY BLVD STE 201A
Practice Address - Street 2:
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-4187
Practice Address - Country:US
Practice Address - Phone:323-250-2449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-30
Last Update Date:2020-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007932101YM0800X
CA3333101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health