Organization
STATE OF CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS ALVAREZ MD (SUPERVISOR)
(909) 597-1771
Entity
Organization
Contact information
Practice address
16756 CHINO CORONA RD, CORONA, CA 92595
(909) 597-1771
Mailing address
16756 CHINO CORONA RD, CORONA, CA 92878
(909) 597-1771
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
LCS22764
CA
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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