| Elisa C Alvarado Md Inc | |
|
630 S Raymond Ave Suite 340 Pasadena CA 91105-3278 | |
| (626) 584-0026 | |
| (626) 584-6166 |
| Full Name | Elisa C Alvarado Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 630 S Raymond Ave, Pasadena, California |
| Authorized Official Name and Position | Elisa C Alvarado (OWNER) |
| Authorized Official Contact | 6265840026 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elisa C Alvarado Md Inc 630 S Raymond Ave Suite 340 Pasadena CA 91105-3278 Ph: (626) 584-0026 | Elisa C Alvarado Md Inc 630 S Raymond Ave Suite 340 Pasadena CA 91105-3278 Ph: (626) 584-0026 |
| NPI Number | 1245561752 |
|---|---|
| Provider Enumeration Date | 01/22/2010 |
| Last Update Date | 12/19/2012 |
| Medicare PECOS PAC ID | 0042346678 |
|---|---|
| Medicare Enrollment ID | O20100407000228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245561752 | NPI | - | NPPES |
| A98438 | Other | CA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A98438 (California) | Primary |
| Provider Name | Elisa C Alvarado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891979746 PECOS PAC ID: 0547344996 Enrollment ID: I20080225000583 |
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