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Individual

ALVA T VERDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1025 S ANAHEIM BLVD, ANAHEIM, CA 92805-5806
(714) 583-2848
Mailing address
PO BOX 4030, FULLERTON, CA 92834-4030
(714) 992-4444
(714) 879-9999

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A37885
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A378851
CA
Enumeration date
05/15/2006
Last updated
09/19/2007
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