Individual
CRISTIAN GENARO ALVARENGA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
426 17TH ST STE 200, OAKLAND, CA 94612-2835
(510) 433-8600
(510) 485-7173
Mailing address
3511 E 12TH ST UNIT 343, OAKLAND, CA 94601-3474
(510) 866-4710
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92222882D
—
CA
Enumeration date
02/11/2021
Last updated
10/15/2025
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