NPI 1619973591 · live from the CMS NPI Registry
Alvarado Eye Associates Med Clinic INC
Clinic/Center, Multi-Specialty in La Mesa, CA. National Provider Identifier 1619973591, active.
NPI record
| NPI | 1619973591 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Multi-Specialty 261QM1300X |
| Practice location | 7877 Parkway Dr., Suite# 100, La Mesa, CA 91942 |
| Practice phone | 619-460-3711 |
| Mailing address | 75 Enterprise Ste 200, Aliso Viejo, CA 92656 |
| Enumerated | June 24, 2005 |
| Last updated | August 21, 2023 |
| Authorized official | Glen Cook, Owner |
| Other names | Alvarado Eye Associates Medical Clinic INC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | — |
| Ophthalmology | 207W00000X | — |
| Clinic/Center, Multi-Specialty primary | 261QM1300X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.