Provider Demographics
NPI:1487748620
Name:ALVARADO, EFRAIN JR (DC)
Entity type:Individual
Prefix:
First Name:EFRAIN
Middle Name:
Last Name:ALVARADO
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 S LAKEVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-6757
Mailing Address - Country:US
Mailing Address - Phone:714-985-0234
Mailing Address - Fax:714-579-3901
Practice Address - Street 1:225 S LAKEVIEW AVE
Practice Address - Street 2:
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-6757
Practice Address - Country:US
Practice Address - Phone:714-985-0234
Practice Address - Fax:714-579-3901
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC22519111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor