Individual
DR. ALVARO DANIEL WAISSBLUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2070 CLINTON AVE FL 3, ALAMEDA, CA 94501-4399
(510) 522-6323
Mailing address
30287 CEDARBROOK RD, HAYWARD, CA 94544-6666
(650) 922-6446
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
154770
CA
207RI0011X
Interventional Cardiology Physician
154770
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000524485
ANTHEM
OH
05
—
200248900
—
IN
01
—
208679830029
CARESOURCE
OH
01
—
2149802
MOLINA HEALTHCARE
OH
05
—
2149802
—
OH
01
—
283931
AMERIGROUP
OH
05
—
64009624
—
KY
Enumeration date
07/15/2005
Last updated
06/14/2019
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