Provider Demographics
NPI:1083446744
Name:ALFARO, ADRIAN (CMCPSS)
Entity type:Individual
Prefix:
First Name:ADRIAN
Middle Name:
Last Name:ALFARO
Suffix:
Gender:M
Credentials:CMCPSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5919 CARLOS AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90028-5433
Mailing Address - Country:US
Mailing Address - Phone:323-618-3015
Mailing Address - Fax:
Practice Address - Street 1:3350 W 1ST ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90004-6000
Practice Address - Country:US
Practice Address - Phone:213-289-3578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula