Basic Information
Provider Information
NPI: 1417974858
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALVARADO
FirstName: MARGARITA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 254869
Address2:  
City: SACRAMENTO
State: CA
PostalCode: 958654869
CountryCode: US
TelephoneNumber: 9168546975
FaxNumber: 9168546864
Practice Location
Address1: 3139 MISSION ST
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941104503
CountryCode: US
TelephoneNumber: 4156437300
FaxNumber: 4154017331
Other Information
ProviderEnumerationDate: 07/15/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207VG0400XA24461CAY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology

No ID Information.


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