Individual
DR. CODY ALVARADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
12625 FREDERICK ST STE B10, MORENO VALLEY, CA 92553-5232
(951) 571-2192
Mailing address
588 W 21ST ST, SAN BERNARDINO, CA 92405-3803
(909) 205-1856
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
34383TLG
CA
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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