Provider Demographics
NPI:1891258372
Name:ALVARADO, OSCAR ANTHONY (DC)
Entity type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:ANTHONY
Last Name:ALVARADO
Suffix:
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 1:13344 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-7309
Mailing Address - Country:US
Mailing Address - Phone:714-986-4368
Mailing Address - Fax:
Practice Address - Street 1:13344 SOUTH ST
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-7309
Practice Address - Country:US
Practice Address - Phone:714-986-4368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-10
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34485111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor