Individual
DR. PROVIDENCE M ALVIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D CCC-A
Contact information
Practice address
6367 ALVARADO CT, STE 101, SAN DIEGO, CA 92120-4904
(619) 583-7002
(619) 583-9404
Mailing address
12927 SLEEPY WIND ST, MOORPARK, CA 93021-2935
(310) 989-3092
(805) 530-3989
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
1745
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669645776
—
CA
Enumeration date
04/09/2008
Last updated
10/29/2025
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