Individual
MR. ALVIN R MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14850 ROSCOE BLVD, PANORAMA CITY, CA 91402-4618
(818) 904-3635
(888) 235-1709
Mailing address
2222 FOOTHILL BLVD, # E570, LA CANADA, CA 91011-1456
(818) 636-8562
(888) 235-1709
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G59931
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G599310
—
CA
Enumeration date
06/30/2005
Last updated
06/21/2019
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