Provider Demographics
NPI:1699795476
Name:OSEA, EDGARDO ALVAREZ (MD)
Entity type:Individual
Prefix:DR
First Name:EDGARDO
Middle Name:ALVAREZ
Last Name:OSEA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:824 E CARSON ST STE 104
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90745-2262
Mailing Address - Country:US
Mailing Address - Phone:310-952-8212
Mailing Address - Fax:310-830-6621
Practice Address - Street 1:824 E CARSON ST STE 104
Practice Address - Street 2:
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90745-2262
Practice Address - Country:US
Practice Address - Phone:310-952-8212
Practice Address - Fax:310-830-6621
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2024-11-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA44654207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWA44654BMedicare PIN