Provider Demographics
NPI:1336972041
Name:ALPHA CURE
Entity type:Organization
Organization Name:ALPHA CURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-496-6484
Mailing Address - Street 1:1370 REYNOLDS AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-5545
Mailing Address - Country:US
Mailing Address - Phone:310-496-6484
Mailing Address - Fax:310-496-6384
Practice Address - Street 1:1370 REYNOLDS AVE STE 103
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-5545
Practice Address - Country:US
Practice Address - Phone:310-496-6484
Practice Address - Fax:310-496-6384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy