Individual
IVAN ALVARADO I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
4647 ZION AVE, SAN DIEGO, CA 92120-2507
(619) 528-5019
Mailing address
4647 ZION AVE, SAN DIEGO, CA 92120-2507
(619) 528-5019
Taxonomy
Speciality
Code
Description
License number
State
2278C0205X
Critical Care Certified Respiratory Therapist
Primary
32953
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D8089827
DRIVERS LICENSE
CA
Enumeration date
08/21/2018
Last updated
08/21/2018
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