Individual
JORGE A ALVARADO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
504 W BROADWAY, GLENDALE, CA 91204-1120
(818) 247-5910
(818) 247-5919
Mailing address
504 W BROADWAY, GLENDALE, CA 91204-1120
(818) 247-5910
(818) 247-5919
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
SL74
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ74745Z
—
CA
Enumeration date
11/14/2006
Last updated
01/31/2023
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