Provider Demographics
NPI:1275328296
Name:ALVAREZ-SOTELO, ADELA A
Entity type:Individual
Prefix:
First Name:ADELA
Middle Name:A
Last Name:ALVAREZ-SOTELO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47110 WASHINGTON ST STE 203
Mailing Address - Street 2:
Mailing Address - City:LA QUINTA
Mailing Address - State:CA
Mailing Address - Zip Code:92253-2186
Mailing Address - Country:US
Mailing Address - Phone:760-564-9205
Mailing Address - Fax:760-771-6215
Practice Address - Street 1:47110 WASHINGTON ST STE 203
Practice Address - Street 2:
Practice Address - City:LA QUINTA
Practice Address - State:CA
Practice Address - Zip Code:92253-2186
Practice Address - Country:US
Practice Address - Phone:760-564-9205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker