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Jorge A Alvarado SR., DO
Optician in Glendale, California
NPI 1437221413

Jorge A Alvarado SR. is a Optician based in Glendale, CA and is specialized in Optician. Jorge A Alvarado SR. practices in Glendale, CA and has the professional credentials of DO. The NPI Number for Jorge A Alvarado SR. is 1437221413 and holds a License No. SL74 (California).

The current practice location address for Jorge A Alvarado SR. is 504 W Broadway, Glendale, CA and can be reached out via phone at 818-247-5910 and via fax at 818-247-5919.

Location: 504 W Broadway, Glendale, CA, 91204-1120
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437221413
Provider Name
Jorge A Alvarado SR.
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
504 W Broadway, Glendale, CA, 91204-1120
Phone Number
818-247-5910
Fax Number
818-247-5919
Provider Enumeration Date
11/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ74745Z 05 CA
institution
Provider Business Practice Location Address Details
Address
504 W Broadway
City
Glendale
State
California
Zip
91204-1120
Phone Number
818-247-5910
Fax Number
818-247-5919
person
Provider Business Mailing Address Details
Address
504 W Broadway
City
Glendale
State
California
Zip
91204-1120
Phone Number
818-247-5910
Fax Number
818-247-5919
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
SL74 (California)
Definition
Definition to come...
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