Provider Demographics
NPI:1699269662
Name:ALVAREZ, OSCAR (SUDCC II 7819)
Entity type:Individual
Prefix:
First Name:OSCAR
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:SUDCC II 7819
Other - Prefix:
Other - First Name:OSCAR
Other - Middle Name:
Other - Last Name:ALVAREZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SUDCC II
Mailing Address - Street 1:24616 TOWN CENTER DR APT 4306
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-4919
Mailing Address - Country:US
Mailing Address - Phone:661-770-7195
Mailing Address - Fax:
Practice Address - Street 1:24460 LYONS AVE
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91321-2347
Practice Address - Country:US
Practice Address - Phone:661-253-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-21
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7819101YA0400X
101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)