Provider Demographics
NPI:1255350971
Name:ALVAREZ, FRANK JR (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:
Last Name:ALVAREZ
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:FRANCISCO
Other - Middle Name:
Other - Last Name:ALVAREZ
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:26415 CARL BOYER DR
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91350-5824
Mailing Address - Country:US
Mailing Address - Phone:661-287-4048
Mailing Address - Fax:661-286-2742
Practice Address - Street 1:26415 CARL BOYER DR
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91350-5824
Practice Address - Country:US
Practice Address - Phone:661-287-4048
Practice Address - Fax:661-286-2742
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2015-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG687322083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG68732OtherMED LICENSE
CA00G687320Medicaid
CA00G687320Medicaid