Provider Demographics
NPI:1952337156
Name:HAYES, PAMELA ALVAREZ (PA-C)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:ALVAREZ
Last Name:HAYES
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:436 N BEDFORD DR
Mailing Address - Street 2:STE 306
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4310
Mailing Address - Country:US
Mailing Address - Phone:310-274-4401
Mailing Address - Fax:310-274-5194
Practice Address - Street 1:436 N BEDFORD DR
Practice Address - Street 2:STE 306
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4310
Practice Address - Country:US
Practice Address - Phone:310-274-4401
Practice Address - Fax:310-274-5194
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA18289363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant